Christy,

I would recommend a nipple skin culture and clean catch milk culture. She
could see a dermatologist, recent article in Academy of Breastfeeding
Medicine journal (?) I believe about dermatoscopy, done by dermatologists.

My other thought was oamer led to baby clamping, sliding and injuring her
nipples. Use strategies to assist with that.

Laurie Wheeler RN MN IBCLC RLC
Gulf Coast Mississippi USA

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