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From:
Nleeguitar <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 24 Mar 1998 16:34:12 EST
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Hi Everybody:
    Tenderness may be part of the picture when anything physical is started.
Think of first intercourse, or first skiing, or first time in the garden after
a long winter. Many mothers, including myself with my first lactation,
experience an intense pain with the initial sucking ,and which may last for up
to a minute. Lawrence mentions this in her text; perhaps it has something to
do with effects of oxytocin on the myoepithelium in the ducts. There may also
be a transient tenderness of the nipple which Ziemer described, along with
others, that peaks around day 3-4; this may be due to new and frequent usage.
These sensations may be present despite a perfect latch. The concern with
breast and nipple tenderness is that it should not persist...should fade
during the feed, and be pretty much gone by the end of the first week. The
mother should not dread the baby getting hungry! Telling mothers that nursing
should not ever hurt may be misleading. It may be better to teach women the
difference between normal sensations and pain. There seems to be a break-in
period for most breasts, which is yet another reason why support during the
first week is so critical for success and increasing duration. Warmly, Nikki

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