PTP:
I am working with a lady G2P2 who is having trouble with nipple blebs at 3 and 9 o'clock positions on Rt nipple only.  Went to MD with information to to treat bleb that she pulled from google search, and they told her they could not do it.  Very frustrated.  Describes discomfort as "pins and needles" in that area when baby on breast.  Had issues with extreme edema, so much so that she needed a few days of Lasix to treat.  Initial call last Tues/Wed around midnight for burning, swollen breasts and not being able to get milk out even with pumping.  Instructed to use RPS prior to latching and laid-back positioing, and to also use RPS with pumping.  She was reporting baby back arching, not satisfied during day, eating all the time, and would only sleep at night after some formula.  During day baby was only on for 5-10 min, then want to eat again shortly.  She actually called me back later to tell me "thank you" because baby had a very good feeding and was sleeping!  Went to emergency room later Wed for swelling, still having some burning in breast.  When she told the LC at this hospital about doing RPS she was told "that doesn't work!" to which she replied "Oh yeah? Then why was I getting relief then huh?"  I know that discussions on nipple blebs are in the archives, but for some reason I have never had any luck in looking there for information.  Must be doing something wrong.  Any suggestions for this lady?  Thanks for the help!!!!

Brenda Enfield RN, IBCLC
Cedar Rapids,IA

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