R: frequent blebs and engorgments

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Hi Jan! I am uploading the file into the Group Photos folder JHope it helpsSome up-date: last Fri the mom went to hospital where they pinked again the bleb.  In the afternoon she called me because she felt no so much relief. I otld her to keep on massaging, pumping, (latching was too painful) and so on because for the pain she was restingSat morning the situation seemed better and she put the baby on breast, that was very effective.Hugsa Da: [mailto: ] Per conto di ibclc@...Inviato: venerdì 16 dicembre 2011 19.44A: Oggetto: Re: frequent blebs and engorgments a, it would be wonderful if you could share the pictures. Thank you so much for offering. Maybe if we collectively look at them we can collectively come up with some good suggestions. Jan Barger Hi all!I’m a PP-IBCLC in Rome (Italy).Here I am to ask your help for a client of mine.She has an almost 6 mos. baby girl . in the last 6 weeks (about.. unfortunately I forgot her sheet at office and can check for details just tomorrow) she started to have a bleb on a nipple together with engorgements. In a first moment, the problem was about each 10 days, and she went to the hospital where they punched/holed (sorry for my poor English) it. In a second moment, the bleb came back and came and came more often, sometimes in only a couple of days.Latching became even more painful and the mom is really upset and overwhelmed.I saw her 3 days ago. I noted that the latch wasn’t so wide , that is not a problem in a 5 ½ mo.s baby, but as the mom has so much pain, I suggested to try to make her open the mouth wider. I gave her all the suggestions for blebs, but it seems nothing works. I saw some bleaching after feeding too.I am so sorry for her because she is really a very motivated mother but is really very painfulShe sent me a complete “photo history†of these blebs. Can I share with you? Even in PDF it is heavy (10 Mb) so I could put it into the list’s Files folder .Let me know if it’s useful.She gave me her permission to share pictures and use for classes and teaching too JI thank you very very much in advance for your suggestions and ideas!!Hugsa Carabetta, PP- IBCLCwww.latteecoccole.it__________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 6718 (20111216) __________Il messaggio 蠳tato controllato da ESET NOD32 Antivirus.www.nod32.it