<Mary Zeimer's work really suggests that sore nipples are fairly
ubiquitous
and peak sometime around day 5.>
With all due respect to you, Barbara, (and I do have the utmost respect!)
I must confess that Mary Zeimer's article "pushed my button". I hate to
see it quoted as a reference. The one great thing I remember thinking
about the article was that she avoided using the word "sore", using
specific descriptive terms in the whole thing.
(This has long been a pet peeve of mine, since Webster defines "sore" as
both an adjective meaning "tender" and a noun meaning "wound", and the
grammatical distinction gets lost in everyday usage. While damaged
nipples are quite likely to be tender, undamaged nipples can be tender
too, and too often, when the word "sore" is used without further
investigation, wound care advice is often given where positioning and
other advice would be much more to the point.)
She made the disclaimer that she only made observations. She and her
co-researchers had no input as to the hospital routines.
If I remember correctly, there was initial delay in feeding, supplement
in the nursery at least some nights, etc., and the average # of feedings
in 24 hours was only 6-7 or so.
I remember I had a strong desire (which unfortunately I never acted upon)
to write a letter to the editor that a more likely conclusion to result
from this study was that when such a routine is used, 100% occurrence of
damaged nipples can be predicted.
I still harbor the hope that somewhere there is research from an
institution of Baby-Friendly status to prove that nipple damage is NOT
UBUQUITIOUS!
And better yet, that neither is nipple tenderness, though I suspect we
have a long way to go.
Jean
*****************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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