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Subject:
From:
Jones Family <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 11 Jul 2001 23:25:02 -0600
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I had a call from a mom today who said that she had no
problem pumping with an Ameda hand pump, but had tried
pumping with a Nurture III, and her nipples turned purple.
She says she was pumping on low speed, initially releasing
the suction every 3 minutes, then going to every 2 seconds.
She didn't think the nipples were rubbing against the sides
of the flange.

This is a 37 year old first time mom who had latch
difficulties initially and a little later a mild oversupply
issue, which was easily resolved by keeping baby at the same
breasts for all feedings occurring in a 3 hour period.  The
baby is now 3 months old, and no problems at all with
breastfeeding.

My best guess as to the reason for the problem is that she
has systemic lupus erythematosus, though I am not sure of
the exact mechanism.  She is also an epileptic on Trileptal
(only name I know and can't find any info at the moment).
She also has hypotyroidism, for which she takes synthroid
(levothyroxin sodium).  She also has herpes simplex I (one),
osteopenia and deQuervain syndrome.  She knows little about
this latter syndrome, but has an appointment with a new
rheumatologist to learn more about it and investigate
treatment options.  She says it makes it painful for her to
rotate her wrist or to move her thumb away from her
fingers.  It is swollen and painful, and the veins on either
side of the tendon in her wrist are dark and swollen.  Other
medications are prenatal vitamins, calcium, and Nasonex
(mometasone, Elocon) nasal spray (a corticosteroid) for
allergies.

If you have questions, comments, or suggestions related to
this case, please e-mail me privately as well as posting to
the list.  I am NOMAIL (still).

TIA for your help.  I asked the mother's permission to post
her case, and she is anxious to get help from anyone, so
gladly gave her permission.

--
Bonnie Jones, RN, ICCE, IBCLC from the sunny S.W. USA
mailto:[log in to unmask]

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