Bleeding nipples - urgent help needed please

[inatrance]

Hi I'm posting for my sis who had her new baby dd on Saturday. DD is her second baby and she really struggled with bf her ds, due to him not latching properly, being very unsettled and terrible pain when she tried to feed. She also has pnd do ended up switching to ff from about a month.

This time with dd she's been much more positive and dd is feeding constantly but my sis's nipples are cracked, sore and bleeding already. She's had the latch checked several times by hv, mw and bf counsellor who all say it appears to be fine.

She's using Lanisoh and spending as much time as she can topless but they are red raw and started bleeding last night and it's only been a few days. Her milk came in a couple of days ago.

Any advice much appreciated.

hmm well she needs to get checked again, because clearly it isn't fine if she is cracked and bleeding

was the breastfeeding counsellor a proper qualified one? or just the breastfeeding person who does the rounds in hospital?
i don't want to generalise because i know some hospitals have incredible infant feeding staff, but others do just use a regular midwife or someone who hasn't h ad a lot of training and isn't necessarily that good at spotting problems

has baby been checked for tongue tie etc? where in the country is she?

get a secnd/third/fourth opinion until you find someone that can help.

a latch can appear fine but there is obviously a problem somewhere. where is she? has anyone checked for tongue tie?

She's in the midlands. No I don't think TT has been mentioned. Will they not have picked that up in the hospital? What can she do?

I have to agree with Thisisyesterday often people think they've seen a BFC when infact it was just a Peer Supporter(not dissing PS's at all but a BFC is more experienced and has much more training is all.) or a bf specialist MW or maybe she's seen an Infant feeding coordinator and these people quite often don't really have enough knowledge or training to really help.
I'd reccomend she finds a support group locally one with qualified BFC's from one of the recognised authorities on BF such as ABM, NCT, LLL, BFN.
because if her nipples are cracked and bleeding then there is something wrong somewhere. be it latch, posistioning or a physical thing like TT.

Is there really something wrong though? Everyone I saw with dd1 said the latch was good etc. The bleeding stopped after about a week and the terrible pain just stopped at two weeks.

here is a list of la leche league groups, there may be a local one your sister could get in touch with for advice.

tt can easily be missed if you arent loking for it - and some Drs think that it isnt a problem if the baby is feeding and gaining weight.

I think you need to find your sis a real bfc quickly. She need not have to endure this pain. Im in Stafford, but just a lowly peer supporter with very limited experience, but very willing to help if i can. pm me if im in the right neck of the woods.