I am seeing a mother antenatally and have permission to post.

She is a multi, first child is now 16 months.  She is due to birth in 
late May.  She was unsuccessful in attaching her first baby to the 
breast stating that she had flat nipples.  I saw her today.  Breasts 
are a normal to slightly large size, with development through this 
pregnancy.  Areola is largish and the nipple is very small and 
flat.  She said that even when expressing (which she did for 6 months 
before slowly weaning) they did not protrude or extend much.

She did state that she had used nipple shields, but may have never 
correctly attached them.  She also said that there was a constant 
pinching feeling while attempting to breastfeed with or without the shields.

We discussed skin to skin following the birth and baby led 
attachment.  I have to admit that I am concerned that she may have 
similar issues, although I did not say this to her.  Any further 
suggestions or thoughts would be most welcome.

Thanks,
Ruth Berkowitz

   ,-._|\    Ruth Berkowitz, IBCLC; BFHI Assessor & Educator; Grad. 
Dip.
  /  Oz  \       Counselling; ABA breastfeeding counsellor; B.Sci.(Ed, USA);
  \_,--.x/   M.L.S.(Monash). KEW EAST VICTORIA AUSTRALIA
               ~  

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