February 2014
Do you know this painful nipple condition that occurs as a result of vasospasm within the nipple? In this condition the arterioles constrict causing blanching of the nipple with severe pain, and is usually followed by the nipples either turning blue (biphasic change), or blue then red (triphasic change). You may be thinking that this condition sounds familiar to you though not associated with the nipples - it is a Raynaud’s-like phenomenon, and is often precipitated by cold.
Affected women may describe the onset of the pain as either during a feed, but more commonly immediately after breastfeeding or between breastfeeds. The pain is so severe that, if untreated, can often result in premature weaning. It has been described as feeling like a vice is clamped onto the nipple.
Unfortunately it is very frequently misdiagnosed, with the majority of women first being ineffectively prescribed antifungal treatments, often repeated over a period of time.
Treatment can be quite simple - avoid the cold and apply warm, dry packs to the nipple after feeding. When this doesn’t work, supportive therapy such as fish oils and vitamin B complex have been found to help some mothers. If that is not successful oral Nifedipine, a calcium channel blocker that is safe to administer to breastfeeding mothers, is very effective.
As it is not a common condition, but also not rare, you may like to read more about it here and share the information with your staff:
Also of note is that on March 5th it is IBCLC Day. If you are, or know, a Lactation Consultant please make them feel special on their day.
Until next time
Denise
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Last Updated: September 2018