Ladies, can any of you offer advice or insight? I've done my best, but extra eyes and voices are always appreciated.
My best friend had her daughter last week Monday, by C-Section. I've been trying to check in with her regularly to offer some support regarding nursing. I sent her a note today offering to answer any questions she may have.
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She's right, the tip shouldn't be involved really at all (it should be back further in the mouth) so that makes me think that she's got a 'working' latch but not a 'good' one, and that she will a) likely continue to have trouble with pain/damage as she continues on and b) perhaps see some slow gaining since her baby is not nursing as efficiently as possible. Unfortunately latch is a terrible thing to try to help with over email. :)
Otherwise I like everything you told her. Maybe help her find someone to talk to in her area?
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Also, for bad nipple pain, she might want to try soothie breast pads. They are $$ and not really reusable, but you can put them in the fridge for a little extra coolness and relief.
Best of luck to your friend.
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