Hi Barbara and Lactnetters,
thanks so much for weighing in on this case. You were right on, see Lactnet
for an update. I would love to hear more about the use of nifedipine in
cases like this.
I think the bruising was probably unresolved mastitis (secondary to breast
inflammation and trauma from chomping/uncoordinated suck), mastitis came
back on like a ton of bricks last weekend. She has been seen once for CST,
no noticeable difference yet, but I have seen it take 3-4 treatments before
really dysfunctional sucks were corrected. WE were able to get a more
comfortable feeding during today's visit by changing position to football,
and going for a really deep, asymmetrical latch. I asked her to do TMJ
massage on baby, breast compression during feeds to increase milk transfer
and improve feeding efficiency, go for at least one more CST treatment.
I have had some parents be really reluctant about CST, at a time when my
only resource was a chiropractor. Then I went to Upledger's webpage, and
looked for people in my area who had had more than 5 courses (they have to
take at least 5 trainings before Upledger wants them to begin treating
babies). then I made a referral page based on this. I now have a range of
local practitioners to refer to, including chiropractors, LMTs, PTs, and an
RN. This helps parents --and peds-- feel more comfortable with CST. I also
have a brochure from Upledger which describes the treatment of babies.
Warmly--
Martha Johnson RN IBCLC
Eugene OR
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: Saturday, December 21, 2002 6:09 PM
To: Johnson, Martha (Lactation-SHMC); [log in to unmask]
Subject: areolar bruises
Martha,
Sounds like clenching/clamping with resultant nerve compression causing
breast pain. I've had two cases recently with one mom's so severe she went
on Nifedipine with good results-mom has declined CST which I think could
help. Both women were diagnosed by LC phone help as thrush but one look at
the squashed nipple and white tip (blanching), breast pain was sure to
follow. Perhaps the bruising outside the areola is because it dlidn't show
up on darker areola and the interstitial bleeding from trauma drained beyond
area where infant latched-upper jaw compression from infant feeling he was
losing breast can occur; sometimes lip being pulled in causes breast damage,
too.
Barbara Latterner, BSN, RN, IBCLC
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
