Not to ever imply pain is all in a mom's head, or to suggest you stop
looking for a physical cause of her pain.... But given that this mom has
pain with pumping and not just latch, I wonder. Is there any chance that
this mom has abuse or rape in her past? Something that would cause her
anguish whenever something external acts on her body? Leave no stone
unturned and all that. It can certainly affect labor and birth!

Best wishes for painless nursings to this mama,
Michelle Adelewitz, RN, LLLL
Ithaca, NY

On Monday, June 18, 2012, Jillian M. Malan, LLLL, IBCLC wrote:

> Thanks for the info!
>
> I talked to the Mom and she has watched for color changes and sees none.
>  :o(  She's tried applying heat before a couple feedings, but didn't feel
> it helped much.
>
> The plan is to apply heat before feedings for the next 24 hours - and if
> she can't get heat on before the feeding starts on one side, to at least
> apply it for the second side.  She's going to try RPS and nursing in a
> position where her breast hangs down, and she's going to have the baby
> adjusted.
>
> She's said the pain when pumping has significantly lessened, which would
> lead me toward a poor latch, but I'm just not seeing anything that doesn't
> look good.  :o(  I'm thinking our next move might be for an OT Feeding Eval
> - any thoughts?
>
> Thanks!
> Jillian Malan, LLLL, IBCLC
> Michigan
>
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