OK...i'm going to categorize this post in 3 parts b/c i'm starting to feel really confused about breastfeeding this baby and don't understand what the problem is. I know this is alot to put in one post but there are so many experienced moms and hopefully LC's that can answer this question i prefer to just keep it all in one post.
QUESTION: how do i know if i have nipple breakdown? Could the fact that i have painfull letdown and loose lots of milk indicate nipple breakdown?
- FORCEFUL/PAINFUL letdown
- when baby is sleeping but about to wake up i find myself rushing to get her out of the bed and latch her on b/c I sense a letdown coming.....I have such a forceful one that i loose about an ounce in each breast just from the letdown. I got a "MILKIES MILK SAVER" but thats only for 1 breast. Its like my breast don't have the ability to hold in milk? Still soaking 4 pairs of pads per day.
- This letdown, whether her shes latched or not, is very painful throughout the breast and nipple. I didn't have this with DD 2 years ago. today I was putting her in swing with left breast still exposed and as i bent over the force of gravity caused my "what I thought was empty" breast to spray all over her face!
- DD chokes on my letdown and theres alot of "clicking" sound when the letdown is happening. Theres so much she pops off and the milk sprays her in the face. Its quite comical...but serious. ONLY LASTS about 1/2 minute
- Nipple Pain while nursing
- I've practiced and practiced the latch. The LC has witnessed it and said its fine. HOWEVER, within 2-3 minutes of nursing she comes to the front of the breast sucking only the nipple. At that point I unlatch her and relatch. My nipple comes out of her mouth at the end of a nursing session looking (white on the tip and slanted tip)
- They are NOT CRACKED OR BLEEDING. Skin is healthy.
- Possible Tongue tie
- Though she does't have the classical tongue tie with the "heart shaped tip of tongue" I do believe theres something there that may be causing the shallow latch. Because when I sweep my pinky finger under her tongue theres a def "stop" and i have to pull out a little to get to the other side.
- I've taken her to the PED last week who initially said there was no tongue tie at birth. He took a second look and agreed it was a "mild" case and referred me to Pediatric Dentist. He told me it would be a surgical procedure using a cauterizing tool and I just thought it was extreme. Then he told me about his child who had a "major" case that required "oral surgery". OK...?? So he's only seen a "severe case"?
- What about the cases where they only "CLIP" the frenum? I came across this website yesterday http://www.brianpalmerdds.com/pdf/frenum_pdf.pdf
- FRENOTOMY--simple clipping of membrane does not require anesthesia b/c theres no nerve endings in this very thin membrane. I told him that this was what I thought was required and he acted as though I was speaking greek and that this was ALWAYS a surgical procedure done by a dentist?
- on PG 22 of the website above it says all the reasons to go forward with the "freneotomy"....the two in red are the ones I AM experiencing.
Painful attachment at breast
Nipple trauma / nipple breakdown
Failure to thrive / poor milk transfer
WOW THIS IS LONG...AGAIN I'M SORRY. JUST DON'T KNOW WHERE TO START.