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Umbilical nipple

Umbilical nipple

Question:

- I would like to know what to do if I have an umbilical nipple - a condition due to which I had to give up my baby. In the hospital after I was born, the doctors, although they saw that I cannot breastfeed, did not take any measures. At home I tried all the methods-milking, syringe cut, breast pump, rubbed with a rough towel but the channels were blocked and I hurt. A week later I was in emergency with abscess in the right breast and of course I received the medication to stop the lactation. What can I do if I have a navel nipple? I would like an answer as well as documented, because I want to make a baby and this time I have to be ready!

Answer:

Nipples can have different forms: common, flat, umbilical, elongated and all are normal, only some can create some difficulty in grasping the breast by the newborn, but this should not be a hindrance to breastfeeding. If it is properly learned to suck, the newborn can suck on any kind of nipple, because he sucks from the breast and not from the nipple. The nipple represents only one-third of the part that reaches the baby's mouth: during sucking, the entire mammary areola must be inserted into the mouth of the newborn; it does not have to "morph" only the nipple tip, because in this way the suction will be inefficient and it favors the appearance of nipple cracks (cracks) and can even reach infections.

It is called the umbilical nipple, which at the pressure of the areola "deepens" instead of going out and is a rather rare form, as opposed to the flat nipple (which is not in relief) which is more frequent, but which is often wrong. called umbilical nipple. Moms who have umbilical nipples may have difficulty at the beginning of breastfeeding, but after the newborn learns the technique of sucking and manages to properly breastfeed, the nipples are pulled out during sucking and breastfeeding can naturally occur. But it takes a lot of patience, confidence and perseverance in the first weeks.

The following measures may be helpful:

- placing the baby in the breast as soon as after birth, when the breasts are still soft;

- removing the nipple outward before breastfeeding by manual stimulation using the manual pump or syringe (Syringe method: cut the closed end of the syringe; insert the plunger into the cut end (ie the reverse of the normal position) and apply the smooth end of the tight syringe on the areola Slowly pull the plunger to suck the nipple and hold the suction nipple for 30 seconds - 1 minute. Push back the plunger to reduce pressure if there is pain or at the end, to remove the syringe from the breast. do before putting the baby to breast or breastfeeding);

- support the breast with the fingers and lightly press on the big finger;

- trying several breastfeeding positions;

- milking directly into the baby's mouth to arouse his interest; during the time he learns to suck the milk he will be milked and collected and offered to the baby with a teaspoon, not with the bottle;

- avoiding the use of baby bottles and pacifiers;

- avoiding breast cracks (cracks) by correctly positioning the child's breast: the entire mammary areola (dark colored part, brown, breast, around the nipple) must be in the baby's mouth; if he sucks only the nipple will not receive milk and the nipple cracks will appear;

- there are commercially available artificial nipples (silicone), which can be tried, but the results are not encouraging.

The most important thing is not to give up breastfeeding (a future task); the nipple shape does not have to be a hindrance to this first mother-baby interaction, because from the first moment the mother is the one who has to learn her baby, step by step, how to overcome every obstacle she will encounter in life. . Do not hesitate to ask for help: the staff of the neonatology section (nurses and doctors) are able to help you, and if you do not do so on your own, ask your help with all confidence.

Dr. Ciprian Pop-Began
Primary obstetrics-gynecology doctor

Tags Breastfeeding Problems Breastfeeding Problems Breastfeeding disorders