I just finished seeing a mother. The baby is 3.5 months. 15lbs-13oz looks 
chubby and healthy. Baby has been fussy at breast for the last week or so 
and weight gain has been a little slow the last 3 weeks. Mother's milk 
supply may be down and she will start pumping to bring it up. Baby is also 
going through the 'curious' stage. He's on and off, looking around. But 
still managed to transfer 1.8 oz of milk in a few short minutes at the 
breast (he wasn't very interested in feeding. I counselled this mother to 
try to break suction before baby pulls off for his look around. However, 
when the baby pulls off, mom's nipple is nice and round. I don't get the 
feeling the soreness is related to latch.
Mom's nipples are very sore and have been for the last 3 weeks. Mom used 
Gentian Violet 3 weeks ago for 4 days and had no improvement. She  The 
nipples are pink and look sore and possibly yeasty. No cracks. is  prone 
to yeast infections.We talked about using an anti-fungal on her nipples 
and changing diet to help decrease her yeast susceptibility. 

However,this is the curious thing, her nipples turn purple when the baby 
is feeding. Its a very deep purple and I'm wondering if it is related to 
her soreness. Has anyone heard of this? 

Karen Nielsen RN IBCLC

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