Robin,
Have you checked the fit of the shield and the depth of latch while using it? I have seen mothers whose nipple were damaged due to using the shield - in each case either the baby was latching less deeply with the shield or the shield fit improperly. Our hospitals hand out nipple shields like they are organic fruit (wink), so I see a lot of moms who are using them for no good reason. Pretty much every tongue tie case I have seen was initially given a nipple shield because the hospital staff couldn't help baby latch.
If you've trouble shot everything you can think of and nothing comes up, perhaps baby needs further eval on his tongue tie and suck coordination.
Best of luck,
Cassidy, CLC and LLL (writing IBCLC exam this year!)
________________________________
Date: Wed, 21 Apr 2010 23:15:26 -0400
From: - Robin Kaplan <[log in to unmask]>
Subject: nipples that won't heal
Permission to post....
I have a client whose baby is 12 days old. This is her 3rd child. With her first two kids, she exclusively pumped for 7 months b/c her babies wouldn't latch (now realize that they were tongue-tied.) However, the persistent problem was that her nipples would not heal for the entire 7 months that she pumped. She used APNO cream, lanolin, diflucan, and saw a dermatologist, but to no avail.
Now, with her 3rd baby, she was cracked within 10 hours after birth. The baby's tongue was clipped at DOL3 and she started CST at DOL4. The baby's suck is improving, but her nipples are a mess. Both are cracked in several places. The tips are raw and bloody. She has tried coconut oil and lanolin. She is not anemic. Last week I recommended biotin (15mg) and zinc (60mg) per day, but she just purchased it today. I also got her larger flanges for her pump, which she is using at the lowest suction setting. Baby is feeding with a nipple shield. I cannot figure out why her nipples won't heal. She is in terrible pain, but is very dedicated to breastfeeding. What am I missing? What other remedies could she try?
Thank you!
Robin Kaplan, M.Ed, IBCLC
San Diego Breastfeeding Center, LLC
www.sdbfc.com
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
------------------------------
End of LACTNET Digest - 21 Apr 2010 (#2010-333)
***********************************************
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
