I agree with  Diana--"feels like sandpaper" is a common description with TT.  I do not at all like APNO and avoid it as much as possible. When nipples do not heal, I go back for the cause--latch, TT, structural misalignment (with the first, you will have the second, but not the other way around of course) and then look at other causes for poor wound healing, which I think has more to do with what goes into mom's body (or doesn't) such as vit D, zinc, pro-inflammatory agents, etc than anything she will ever apply topically. But, topically, my first treatment for many years has been coconut oil. 

Jennifer Tow, IBCLC, France
Intuitive Parenting Network, LLC


Date:    Fri, 11 Feb 2011 02:07:26 -0500

From:    Diana Cassar-Uhl <[log in to unmask]>

Subject: Re: sore nipples, washing with saliva



Hello Tina,



Perhaps I am coming late to this party, but has anyone suggested that  

this mother/baby pair might be struggling with a tongue-tie?  They're  

really easy to miss (or, in the case of the pediatricians in my  

community, completely DISMISS, ugh) when the baby is gaining well and  

mother's milk production is robust.  The combination of a tight  

frenulum plus a baby working to manage oversupply/forceful let-down  

can, in my experience and observation, lead to some serious nipple  

pain and damage.



Just thought I'd throw that out there in case someone else hasn't yet!



Diana Cassar-Uhl, IBCLC and LLLL

upstate NY



 

 



 



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