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Help! Inverted nipples and breast reduction, trying to breastfeed newborn!

post #1 of 4
Thread Starter 
This is help for a friend who desperately wants to breastfeed but is starting to loose hope. She's a first time mama with an almost 3 week old and her supply is dwindling. Here's what she wrote to me and said I could share:

I had a breast reduction after I graduated from college, which was... I think... a little over 5 years ago? The doctor left my nipples attached to the "pedicle-" usually they slice the nipple right off and reattach it. So, ideally, my ducts are way more intact than the ordinary reduction. However, I have always always always had flat/inverted nipples which only come out to play when I'm in a cold classroom in front of children. Certainly never for my baby. I have tried to get her to latch several times (a day), just for fun and also because hey, what if it works? (She actually fed from me ONE TIME... we were having 'kangaroo time' one night before bed, which I do without a shirt so we can have skin-to-skin contact, and she burrowed and latched on and actually ate for about, oh, a minute and a half!)

In the hospital, the lactation consultant (1 of 2) gave me thera-shells, which were supposed to draw my nipples out over time. Three weeks later, nothin.' The lactation consultant (1 of 2) pretty much told me breast feeding would be not so successful for me, but I was determined because I know it's better for DD than that nasty formula. I really wanted to for ME because of the bonding and natural aspect. In addition to the nipple issues, the competent lactation consultant (2 of 2) told me that I would have supply problems because a percentage of the ducts would have had to have been cut; I may have the supply, but no way to get ALL of it out, she said. I went into birth not having a plan B because I was so set on breast feeding, so that's part of the reason we had to stay an extra night in the hospital. Long story.

Anyway, plan C was that DD would take formula until I could pump enough to bottle feed breastmilk to her. The most I have ever been able to express at one pumping was .75oz from each boob. That was my peak production. She takes 3 or 4 ounces at most feedings. For the last 2 days, I have barely been able to cover the bottom of the bottle. Part of that is my fault because I was so busy on Monday that I didn't pump at all and I think I tricked my body. I've been pumping every 2 hrs today, and I'm going to do the same thing tomorrow (lactation vacation) I'm giving it patience and persistence until Sunday or Monday, and then re-evaluating. I always have her snuggled in my lap while I pump so that I'm at least feeling her and smelling her skin.

If you have any hints for stubborn nipples or increasing production, I'd love to hear them! Or anything else!
post #2 of 4
I've been there about 5 months ago, and it can be so hard in the early days - between sleep deprivation, constant worrying about supply, having to nurse and pump almost constantly. But it can be done. She may not have a full supply, but there are lots of things to do to help.

1. bfar.org. These ladies are amazing and will have fantastic advice for your friend now and going forward.

2. Chest compressions while pumping. They help me get at least twice as much while pumping than without them. I think there are instructions on Dr. jack Newman's website. Basically, though, just cup the breast and squeeze firmly while pumping.

3. Consider using a Lact-aid or SNS to supplement, if supplementation is necessary. That will help stimulate the breast to produce more milk and avoid possible bottle preference.

4. Lots of moms who've had breast reductions have to really trick the body into thinking it needs to feed twins or triplets, so they will pump every single time after they nurse. Even if nothing is coming out, it's just to tell the body to produce more.

5. Domperidone is necessary for me to keep a nearly full supply. There is info on it here and on bfar.org. There are other galactalogues as well that many moms have found to be helpful.

6. The book Defining Your Own Success by Diana West is a wonderful, wonderful resource!

7. On the inverted nipples, my daughter could only nurse with a nipple shield. I know that's not ideal and I get that there are a lot of reasons not to use them, bit for me, it was better to use them than have mo breastfeeding relationship at all.

Just some thoughts- I totally feel for her and wish her the beat of luck!
post #3 of 4
I had inverted nipples, and found that if you soften the breast up first -suck the nipple out with a pump and take a bit of milk off it can be easier. I found it so painful to start with & I think it was partly because my nipples were not acustomed to being touched at all!
post #4 of 4
Thread Starter 
Thanks ladies! I sent her your responses and she was SO relieved!
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