Dear Lactnetters,
I've just come away from a rather puzzling situation.  I went to see this
new mom  thinking that her problem might have been that of a possibly
dehyrdating baby.  We managed to work on the basic principles of good
attachment.  I left her, working on getting the baby  fed and watching the
baby's wet ones and stools.

A few hours after I left her, she called reporting that she was still having
problems with soreness.  She asked me to see her.

I went the second time, and this time I observed that the attachment seemed
fine, except a minor adjustments to the upper lip.  Other than that, there
was nothing I could see physically, that was wrong with the attachment that
would give her such pain.  She cringed when the baby latched.  And then,
during the course of the conversation,  she mentioned that she experienced
tremendous changes to her body during the first weeks of pregnancy- her
breast changes came quickly,  she would react to cold and her breasts would
throb and ached.  She remembered her mum having similar problems with the
breasts   and feeling sensitive to the bras like they were sandpaper against
her skin.

We are suspecting a hormonal problem.  Has anyone seen such a situation
before - that the hormones can be so overwhelming that it can hurt so much
whenever the baby latched?  We are just guessing here- any comments or
suggestions are welcome and appreciated.

Doris Fok, IBCLC in private practice in Singapore
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