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Subject:
From:
Peter and Anne Stiller <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 15 Oct 1998 14:24:05 -0000
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     I saw a mom today with a problem I've not seen before. Baby is about 4
weeks old. Milk supply is great, baby thriving and gaining. Mom did not
nurse her first baby more than a few weeks and is really motivated to
breastfeed this one. The problem is that there are bright red rings around
both nipples over the areola (looks like a bullseye!) Latch on is painful.
The rings are made up of an inflamed looking rash (tiny raised bumps -
almost like a contact dermatitis). There is normal looking areola inside
and outside of the circle that forms the ring. The nipple itself is only
slightly red with no visible cracks. Baby tends to suck in her top lip, but
is otherwise positioned and latched correctly, as far as I can see. Good
nutritive suckling and gulping. Letdown is a little hyperactive and
feedings last about 10+ min per side. Correcting the lip position decreased
discomfort somewhat. Mom has been using one of the purified lanolin
products since baby's birth, and is now on her 3rd large tube. No change in
soap, laundry detergent or brand of breast pads. No hx suggesting yeast.
Rash not as pink as yeast, but more red.
     I suggested she stop using lanolin for now and air dry after feeds
with ebm on her nipples, watch baby's lip position and be sure she is
correctly latched throughout every feeding, if feedings are too painful,
try feeding on one side only each time and "resting" the other; may need to
hand express a little on unused side to comfort (she has no trouble doing
this).  The only thing I can see that is touching the nipple/areola at the
affected sites is the baby's mouth. I can't think of anything else to
suggest. Has anyone seen this before,  or do you have any ideas? Thanks in
advance for your help!
Anne Stiller, RNC, IBCLC

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