For some reason I am unable to access the archives at the moment, but I don't remember this
coming up in the last year.  I saw a healthy, vibrant, 6 month pregnant woman yesterday with
what appears to be Raynaud's phenomenon of the nipples.  She has a history of "cold"
extremities and mentioned that her painful nipple episodes are precipitated by cold and
usually improve with a warm bath.  She also reported noting colour changes (from pink to
purple). I have not seen this during pregnancy before.

We discussed the use of warmth and Ibuprofen, Calcium and Magnesium supplements, topical
nitroglycerine and nifedipine  (all from Bf and Human Lactation) - to be discussed with her
doctor.

Anyone seen this?  What is likely to happen postpartum?  Symptoms the same, worse, better?
Any further insight and suggestions would be most appreciated.

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa
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