<<On occasion I have seen a tiny clear flap of skin over a nipple plug. The pump or baby opens the flap, then it reseals and the plug returns. Sounds gross>>> but have mom scratch or gently pull the piece off completely. Afterward I have them use epsom salt soaks 3 times a day for 2 or 3 days to promote healing and prevent infection. The plugs do not recurr. <<With all the talk about epidurals I would like to know if any one else has seen generalized areolar edema in mothers who had epiduarals (We see it in CS's and long hospitalized labors too). There's been a lot of discussion here about what it is and how to treat it. The areola is so firm it forms a ball so baby can't latch on and pumping leaves deep indentations in the areola. Milk won't *flow* either. Our docs will not start an epidural until mom has had at least 2 liters of IV fluid. We think we are seeing a generalized edema from fluid overload that isn't severe enough to cause the usual pitting elsewhere. Has anyone else seen this? Any ideas? Thanks, Marie Davis, <<< [log in to unmask]>>>>