Help!

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PTP I posted last week about a mom who thought she had thrush it did not look

like thrush no shiny red areala. Nipples were a little reddended and blanched

white after feeding. I discussed Reynaud's and vasospasms. Infant gaining

weight well and transferring milk well. Infant was a home birth so no

interventions were done. Mom has good technique latching with asymetrical

latch. Infant has good suck with good tongue placement. I didn't see the need

for CST. I just couldn't see anything wrong with suck or latch. Mom messaged

me yesterday and stated her nipples are cracked and areolas are shiny and red

her mindwife ordered diflucan and something for vasospasms. Mom has been using

APNO for a week. She wanted to know if there was something else she could do

for the pain she stated it hurt so bad she was dreading feedings. Because I

work on the weekend I was not able to see her. I suggested she could try a

nipple shield to see if a little of a barrier made it more comfortable, or I

also suggested she could pump and give nipples a rest however she currently

doesn't have a pump. She messaged back and stated Tuesday would be 2 weeks and

she would just suck it up til then now she had been started on meds to see if

those started helping. Then she messaged me today and stated that her nipples

look like they have bites out of them. I have seen this beofre in the hospital

It wasnt someone I helped with initial latch and the other LC encouraged mom to

just pump until nipples healed and then relatch infant. I got to help with

relatching infant and she did well. My questions are 1. Is it possible some

women are just so sensitive and some infants have such a strong suck that the

mom's have severe nipple pain even when they are doing everything right. 2. Is

there anything else I could suggest to her that might help.

This is so frustrating. I am usually able to help everyone I kind of feel a

failure when I can't. Do you ladies struggle with this as well. I am new to

private practice but have been a mother baby nurse for 8.5 years, a LC for 3.5.

I am the first to admit I don't know everything, but I try to keep up to date

reading and attending conferences.

All my other visits have gone great the moms didn't need a followup and 10 -15

min into the visit they all stated their infants have never nursed so well. I

just don't understand why I can't help this mom. What I missing?

Thanks in advance for you help,

Karman Romero

www.babysbreaststart@...