I think there was something like the nipples you describe in one of the GOLD 2010 presentations, I am quite sure it was Bridget Ingles's "Nasty nipples and bothersome breasts". It was said such nipples are very prone to infections because the creases in the rims stay moist - and the recommendations were to rinse the nipples after bf and make very sure they are dry in the creases to prevent further damage and more infections. I hope I remember this correctly, it was a really great presentation.
Christina Yaneva
BF Peer Councellor
Bulgaria
--- On Mon, 5/17/10, Cindy Curtis <[log in to unmask]> wrote:
> From: Cindy Curtis <[log in to unmask]>
> Subject: unusual nipples
> To: [log in to unmask]
> Date: Monday, May 17, 2010, 9:31 PM
> I have been helping moms breastfeed
> for the last 20 years, I have a mom I am
> currently helping and she has nipples like none I have ever
> seen before.
>
> We have worked on latch and position, someone had given her
> a nipple shield
> and she had also started some pumping and bottle feeding
> due to pain , a few
> days after delivery she got endometritis and was an
> antibiotics and she also
> has oversupply....
>
> So we stopped the shield, the pumping, the bottle and got a
> good latch and
> for about 2 days things improved, then she got yeast
> symptoms and took the
> first dose of diflucan and thought she was a little better
> , she called me
> and the dosing was incorrect so I got the doc to call in
> the dosing per Jack
> Newman and we got the ped to treat the baby, after the
> second dose she
> didn't think things were any better yet, she is also using
> APNO.
>
> I am not sure what else to offer her, I think it is her
> nipples that are so
> unuslal that is making it really hard to get a good latch.
>
> The nipples themselves are not inverted, i.e. they do not
> go inwards, but
> there is deep rim around the nipple that makes the nipple
> inset into the
> breast, with stim, they come out, Its really hard to
> describe, has anyone
> seen any like this? The nipple also has a cauliflower look
> to them. I looked
> in the Breastfeeding Atlas and also dozens of pics on line
> and cant find one
> that looks like hers.
>
> The baby is gaining great and the oversupply is reducing a
> little.
>
> Any help is appreciated! Thanks Cindy
>
>
>
>
> Cindy Curtis RNC IBCLC CCE CD
> mailto:[log in to unmask]
> http://www.breastfeedingonline.com/
>
>
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