Hi all, I have a mom (home visit last Sunday) with bilateral severely inverted nipples. Pumping draws them out only slightly, and is painful for mom, but she continues to double pump 7-8 times/day because baby is not latching. Mom's breast tissue looks otherwise normal, when I was there on day 3, they were firm and she reports, heavier. I showed her manual expression and we were able to express drops from the right, and a bare glistening from the left. Using an Elite for ten minutes produced 20 cc of colostrum on the right, only glistening on the left. Now, four days later and with baby now 7 days old, mom is still only expressing 20-30 cc colostrum on R and nothing at all on L. She reported feeling a bit more fullness/heaviness in breasts, but no real engorgement. Lochea is decreasing, I'm not thinking retained placenta. No hx thyroid, no signif blood loss. Baby is doing lots of skin to skin and nuzzling nipples. Where is this moms milk, and could it have anything to do with the severely inverted nipples? There are obviously "exit points" (moms concern) since we can express something, and there was not any major, unreleaved engorgement. Just the milk is really slow coming in, and mom is getting discouraged that baby is requiring The Other Stuff. (I'm not addressing the latch issue here in this post, let's focus on the milk issue, we will get the kid latching and it will be easier once there is milk there for him). Thoughts? Nancy Nancy Holtzman RN BSN IBCLC Director of Postpartum Programs Isis Maternity Two Brookline Place Brookline MA 02445 617.264.4747 [log in to unmask] *********************************************** 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