I worked with a mom who reported an injury to the breast due to a car accident.  The accident occurred a few years before her first pregnancy but she reported severe impact and bruising across one breast.  She had an abscess in the same breast after repeated bouts of mastitis.  She did go on to nurse happily with both breasts but she felt there was a connection between the breast injury and the mastitis/abscess in the same location.

Is anything about this mom's pain or milk production improving with management?  

Susan Johnson MFA, IBCLC
Salt Lake City, Utah USA






________________________________
 From: Mary Anne Taylor <[log in to unmask]>
To: [log in to unmask] 
Sent: Tuesday, November 20, 2012 12:48 PM
Subject: Breast injury during pregnancy cause sore nipple?
 
Hi all,
PTP- a first time mom who was hit right in the middle of her breast by a
baseball when pregnant about 7 months. She had swelling and bruising at the
time. Now her baby is 9 weeks old, and you can still see traces of the bruise
although there is no swelling. Problem is, she has had pain in that nipple from
the start- mostly at the start of the nursing. The pain does not come at other
times, except when she pumps. She has tried different sized flanges.
The nipple is not deformed after nursing. The baby
does not have tortocollis or any obvious assymetries that I can see, and is
gaining well.
The breast with the painful nipple produces less milk and has had mastitis once,
with some bleeding. I know, sounds like the latch is not so great on that side-
but the mastitis could also be from her avoiding nursing d/t pain.
Here's my question: Is it possible that the injury is causing the pain? Has
anyone seen something like this?
Thanks,
Mary Taylor, IBCLC

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