Have mothers permission to post. A patient I recently worked with presented with the following history: 4 th baby,. Had attempted to breastfeed last two infants without sucess. Both cases, even with lactation support there was never any suggestion of expressed colostrum or milk despite nursing/pumping. In both cases though mom got engorged when she pumped or nursed all that ever was seen was frank bleeding. This delivery- started working with mom immediately. Babe with excellent latch but never could elicit even a hint of moisture/colostrum even with pump. Engorgement set in and continued nursing/pumping only elicited blood. I talked with the OB and we were able to get an ultasound done. Rqadiologist report showed no ductal outlets. Filled sinuses/ milk streaks were present and tracable but ended at nipple base. Is this Athelia? The mother has an areola and what appears to be an under formed/ immature nipple area....... Mom has kindly given me permission to use the films and do a case study but I am unsure if this is what is classified as " athelia" ? Kittie Frantz or someone... can you answer this question for me? Thanks Lisa Jones RN IBCLC *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html