Jean,  I am a big fan of RPS and have taught it to many women.  I read all your posts and really appreciate your years of experience and insight.  However, the women with firm tissue that I was referring to are not moms with edema, but literally firm tissue (maybe like a bicep) and a nipple that does not evert (possibly has a lot of connective tissue?) with very little elasticity.  I worked with such a mom yesterday.  Her R nipple everts nicely and baby latches to that breast beautifully.  The L nipple is very short and retracts with any kind of pressure.  We tried laid-back positioning and other positions over a period of 24 hours to try to entice baby to that breast with no luck.  Mom was exclusively nursing on the R and getting sore from the frequency.  So we opted to try a shield on the L and baby got right on with the first try with good audible swallows.  We will see this dyad for f/u in a few days and I feel confident that the L nipple with become more everted as a result of the baby suckling there (with the help of the shield) and will be able to being weaning off the shield.  In my experience, it seems like the connective tissue becomes stretchier and more elastic within a few day's time (again,  I'm not talking about edema here).  Some women just have very tight breasts from the get-go.



Anne



Anne asks:



<Usually a mom in this scenario has very firm tissue which is hard for baby to draw into his mouth. >



I read all today's comments on nipple shields. Research was called for. Do any of us question "Why is the tissue so firm (today)?"













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