A few years back I assisted a mother who had similar nipples. She was very
determined and it took a few difficult, tearful days before baby breastfed.
She continued to nurse for 5 years and even after all that time, her nipples
never saw the light of day!
Initiating a MER via hand expression before using the pump or nursing the
baby may be helpful. Some mothers seem to need several sessions with the
pump before their body responds with a MER.
Good luck.
Jean Ridler RN RM IBCLC
South Africa [log in to unmask]
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