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Wed, 10 Apr 2013 21:44:55 -0700 |
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Hello everyone,
ptp: Mom is 8 days pp. Baby has not latched for any significant amount of
time. Mom has short nipples and baby has a tongue tie. I introduced a
nipple shield during my visit, but baby didn't latch. Tongue tie being
addressed this week. Mom is pumping and has a great milk supply. She has cracked nipples. Possibly from baby, although I suspect it was from
turning the pump up too high (we worked on that and flange fit
together).
Here's the interesting part: today (day after visit - love it when they leave
out pertinent/related info like this), she mentioned that she is
experiencing intermittent breast pain. She said it feels like stabbing
right behind her nipples and that she has a rash on her arm. The pain
lasts 10-15 minutes, so I don't think it's let down. She thinks
ibuprofen is helping, but maybe the pain subsides on its own? During her 3rd trimester, she also had the same intermittent breast pain and a
severe, itchy rash all over her body (OB ruled out choleostasis). She
took antihistamines and they took 1 week to work. The current rash is
occasionally itchy and is slightly raised. She said it gets worse in the shower. I didn't notice it during my
visit and she was topless while we tried to get baby latched. She had
abx in labor for GBS. I recommended she start high doses of probiotics
when we met. I don't suspect thrush. Has anyone seen something similar?
She's
the 3rd client in the last 6 months that has had random
itching/rash/hives postpartum and I haven't been able to find a cause.
Thank you!
Be well,
Tracy Massillon, IBCLC
Lactation Consultant, Educator, Doula
Tel: 415.205.1357
www.TheMilkYears.com
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