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Date: | Mon, 16 Jan 2006 15:29:11 -0700 |
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Dear friends,
I have mother's permission to post.
Mother presents with nipples that she considers to be "cracked"; I observed
a significant, deep wound at least 2 inches long (about half the
circumference of the base of her nipple) at the very base of the nipple that
would open up in my estimation 1/8 to 1/4 of an inch (didn't have a tape
measure, but she can basically peel the bulk of the end her nipple up and
over the top part or her nipple that is not cracked and attached to her
areola; like folding it over) This wound is symmetric on both nipples, with
varying stages of pain and healing between the two sides. Baby has been
audibly clicking since birth nearly 8 weeks ago; has good milk transfer and
is gaining weight appropriately. Baby feeds nearly constantly, however, I
didn't observe any kind of tongue tie. Baby does has tight labial frenulum
combined with little actual lip tissue, <if that makes sense> which mother
is trying to work with at this point. We know baby has thrush and mother is
now treating both of them for it. I suspect thrush has been lurking since
baby was born due to antiboitics given during labor. I did not have a
flashlight with me and didn't have good light to look at the palate. :(
At a doctor's visit today, the ped confirmed that this baby does not have an
epiglottis; rather, she has two small little buds of tissue. Ped said it
would not interfere with breastfeeding and that she may develop a more
normal looking epiglottis over time. ?????????????
Mother is using shells and feeling very much like they are helping; was
reluctant to try a contact shield but is now thinking pumping for a few days
could be ok and might help. :) Mother is committed to breastfeeding; had
some of the cracking issues(I didn't see it was this bad, though) with her
first baby that we worked through at that time, and she was fine after baby
was around 3 months.
Are there studies or information I can share with her about any effect the
epiglottis has on sucking/breastfeeding?
Are there other suggestions I can offer her? She would prefer to breastfeed
instead of pumping and cup feeding, but if this damage isn't corrected, I
don't know how reasonable that is.
My apologies for this being so long, Thank you so much for helping!
Warmly,
Tallis in windy NM
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