Hello,
This is the first time I am writing to you( have been reading on lactnet the
last half year)
I am needing help on the following situation(permission to post)
I saw this mother the first time on august 1st, very emotionnely, because
she stoped breastfeeding at july the 14th due to severe cracked nipples. Her
breasts were still leaking every time the baby cried and she really wanted
to breastfeed and would like to restart. She still had cracked nipples at
that moment(really on the point of the nipple, the tissue was gone, lying
deeper- even though she didn't breastfed or pomped her milk for over 14
days). She hadn't been pomping because even pomping was to painfull.
This women gave birth on the first of july, she had a waterbirth (so no
anesthesia), breasfeded her baby in the first hour after delivery, had her
baby al the time with her, terme=372/7 weeks of ammenorhee
She is allergic, has asthma (ventolin)
Baby is a little boy,2440g at birth
It's her second child, first baby was born by cesarian, breatfeeding 3
weeks, stopped for severe cracked nipples.
Mother, first child and this baby have all sligtly regressed chin
Severe cracked nipples in the first few days, went home like that, came back
a week and a half later:mastitis, infection with staphylo, got erytromycine.
Since the pain went on she went to her generalist and asked for a treatment
for candida, which she did for 2 weeks, for her and the baby
On the first of august we started Motilium(domperidone) 4times 1 a
day,pumping at least 8 times/24h, put some milk on the cracked
nipple/lansinoh.
The baby was hungry, tried to latch on but was to nervous, since her nipples
were still sore we agreed on pumping
Pumping isn't going so well for this women to stimulate,neither with massage
or manuel expression
Therefor she put the baby again to the breast, and it seemed to work(nipples
didn't get any worse, milkproduction increased= 50g/time pomping)
untill last saturday: again fever, less milkproduction, red diffuse spot or
right breast, extremly sore nipples(advised here to put bactroban on her
nipples, stimulate her breast and put some white cheese on the red spot
after each pomping)
I saw her again yesterday: the craks seems the same, but are more painfull,
baby on the breast non nutritive sucking, and pain for his mother
The baby has no tongue-tie, normal palate, normal suction on finger.
Baby and mother were seen by osteopathe= OK
What can be the problem here??
Thanks for any suggestion,
Inge Borghys
Midwife Belgium/ Luxemburg
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