My daughter had very well developed breast tissue and smaller nipple and areolar under one breast as well as a couple of other nipples straight down on the nipple line.  The one with breast tissue did have milk and did leak when she had a letdown for quite some time but it eventually stopped.  She nursed for 18 months each for 2 children.  She had no problems.  She did have to plan for the letdown from the larger more developed nipple and tissue  and have something to catch it but other than that, it was normal lactation. This is something that pops up in our family tree once in a while.  I have read there could be a connection to kidney abnormalities but my daughter has not had any problems. I think this occurs to a less extent more often than we recognize.  I have picked up on very small accessory nipples along the mammary nipple line on patients who thought they were a mole, most often further down on the abdomen.  Hopefully your patient will have uneventful lactation too.  
 

Susan Gehrman RN, IBCLC, CCE
Battle Creek Health System
300 North Ave.
Battle Creek, Michigan 49016
Phone: 269-966-8586

Breastfeeding... A natural resource. 

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>>> Linda vawter <[log in to unmask]> 04/15/2010 10:25 PM >>>
We had an interesting patient this week with bilateral secondary areola and nipple.  They are slightly smaller, located below the primary ones, but still on the breast itself.  They are leaking colostrum already.  Baby was 2 days old today and was discharged home from the hospital.  Does anyone have experience with this phenomenon and/or have any suggestions for how to manage this?  We recommended she feed the baby from the primary nipples and see if the secondary ones would dry up.  She gave permission for me to post this question and I will be following up with her to see how it is going.  Baby is exclusively breastfeeding very well and I could hear some good swallowing today.  Mother seems very comfortable with it.  We are just wondering if there is anything we should be telling her or be concerned about.  Thank you in advance for any input.



Linda Vawter, RN, IBCLC

California
     
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