In my experience, a crack in that position could be caused also by a
baby-bottom not close enough to the mother, that is, a latch that causes
tension on that part of the breast.
Could this be the case?

Micaela,
Italy

2013/5/31 Christine Lichte <[log in to unmask]>

> Hi.  I am working with a mother and her 8 day old baby. She has a crack
> developing at the base of her nipple where baby's upper gum would be with
> cradle hold.  She is doing football hold now and it is better.  It is only
> on her left nipple. Right nipple is not sore or cracked. She had the same
> issue with her first baby on the left nipple and the crack continued to get
> worse and went around the entire nipple.  This lasted for over 2 months and
> she worked with a lactation consultant part of that time..  I watched baby
> nurse today. I did not see any evidence of lip or tongue or palate issues.
> Baby appears to latch well, calm during feeding, no clicking or gulping.
> Baby is gaining weight and has plenty of diapers.  She is not a fussy baby.
> I read a crack in that position could be from a lip tie. This baby does not
> appear to have a lip-tie, although using Dr. Kotlow's classification it
> would be a class 2. I have recently learned of Dr. Kotlow's lip-tie
> classifications so I make note of babies I assess.  Either I do not know
> what I am looking for or most all newborns have some degree of lip-tie.  I
> have yet to see a class I.  Most look to be between a 2 and 3.  Any
> suggestions on what I can look for that may cause a crack in this spot?  It
> is interesting that the exact same thing happened with her first baby.
> Could it be something with the mother and not related to baby at all?
>  Thanks!
>
> Christine Lichte, BS, IBCLC
> Warrensburg MO
>
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