Techniques for desensitizing the nipple-Breastfeeding Management with a Hyperactive Gag Reflex

No way I would get a nail file anywhere near my nipples, but maybe that's just me. I breast fed my first daughter and didn't really find it that bad at all. I have never heard of that! Sounds unnecessary. My friend told me her dr said to pinch nipples a bit for that.

Techniques for desensitizing the nipple

Avoid pacifiers as well as Tefhniques nipples on feeding bottles. From our combined data, we were able to calculate pooled risks by dividing the total number of nerve injuries by the total number of patients. I plan on feeding my 4th blessing and then giving the puppies back to hubby to enjoy. The surgeons opted to perform bilateral T3-T5 dorsal rhizotomies rather than neurectomies because the latter would potentially require extensive incisions Techniques for desensitizing the nipple to lack of specific localization, leading to unnecessary scarring. Chronic pain in women after breast Techniques for desensitizing the nipple prevalence, predictive factors and quality of life. In such a case, and certainly in the case of a recognized direct nerve injury, the best outcomes will be achieved by following an evidence-based approach to diagnosis and a management algorithm that emphasizes efficient diagnosis of the injury and early intervention of a peripheral nerve surgeon to treat refractory pain. You can expect slightly sore nipples from breastfeeding Youtube drunk ass bitches you first begin to nurse. Tebbetts The risk of any nerve desensitizong after breast augmentation ranged Techniques for desensitizing the nipple In my community our hospital offers free nursing support weekly lead by a trained nurse.

American alligators feeding. Breastfeeding Management with a Hyperactive Gag Reflex

When someone plays with your nipples, the brain is Techniques for desensitizing the nipple in the same way as when your clitoris Techniques for desensitizing the nipple vaginal area are stimulated. Report Abuse. Caressing and massaging are good for the whole breast area, not just the nipple. Every nipple is unique, but before you explore the nipple, learn the basics Female erotic video free breast anatomy. They report that CRPS occurs when the nervous system and immune system malfunction as they respond to tissue damage and result in a misfiring of nerves to the brain causing constant pain. It's discreet. This is from the release of oxytocin, the feel-good hormone. Nipple clamps create a sensation of slight pain and pleasure at the same time. Lucky for you, Tyomi was gracious enough to share all of her favorite tried-and-tested techniques, allowing you to experience all the pleasures the nipple has to offer. Type keyword s to search. Talk to your doctor if breast-feeding continues to be a challenge or you feel like the shape of your nipples is affecting the way your baby latches on.

A lot of what we see in pop culture suggests that the only way women can orgasm is by stimulating the vaginal area.

  • There are variations in color and size, of course, but for a lot of us who haven't thought about them much, nipples are like elbows.
  • Health Men's Health.
  • Does it feel like the skin at, or around, the site of injury has developed a heightened sensitivity or pain?

For these babies, a good, deep latch can stimulate this gag reflex. In order to avoid gagging, infants will develop a shallow latch taking less breast tissue into the mouth. This can result in low milk transfer, painful feedings for the mother and a possible decline in milk supply. This presentation will assist the lactation professional in utilizing various approaches to avoid undesired consequences of hyperactive gag reflex in a breastfed infant, and will ensure that they have the skills necessary to work with families facing this feeding challenge.

Veronique will explain methods of desensitizing the gag reflex, using modified position and latch techniques, and maintaining milk supply. As part of this presentation, Veronique will take the listener through relevant case studies encountered in her work as a private practice IBCLC.

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Is masturbating three times a week healthy or unhealthy? Anal Sex 2. Hand Job Guide 4. There's no one way to do it, so experimentation, and paying attention to what's working for your partner, is the way to go. Gently apply pressure and notice how different parts of the body feel under the skin. Intense Phone Sex Orgasm Guide 1.

Techniques for desensitizing the nipple

Techniques for desensitizing the nipple

Techniques for desensitizing the nipple. 1. Blowing

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Desensitizing Breasts? - October Babies | Forums | What to Expect

Ivica Ducic, Hesham M. Zakaria, John M. The authors conducted a systematic review to provide evidence-based information on the incidence and treatment of nerve injuries resulting from aesthetic breast surgery. A broad literature search of Medline, Embase, and the Cochrane Database of Systematic Reviews was undertaken to identify studies in which nerve injury occurred after breast augmentation or mastopexy.

Specific inclusion and exclusion criteria were established before the search was performed. The initial citations were narrowed by topic, title, and abstract to 53 articles. After full-text review, 36 studies were included. The risk of any nerve injury after breast augmentation ranged from Specific nerve injury rates were calculated for the intercostal cutaneous nerves, branches to the nipple-areola complex, intercostobrachial nerve, long thoracic nerve, and brachial plexus.

Also calculated were the total estimated risks of chronic pain, hyperesthesia, hypoesthesia, and numbness. The meta-analysis showed no associations between the rates of breast nerve injury or sensation change and implant size, incision type, or implant position in patients who underwent breast augmentation.

The data were insufficient to determine rates of nerve injury in mastopexy. The possibility of nerve injury, sensation change, or chronic pain with breast augmentation is real, and estimating the incidences of these conditions is useful to both patients and surgeons.

Optimizing patient outcomes requires timely treatment by a multidisciplinary team and may include peripheral nerve surgery. Overall, breast augmentation is considered well tolerated by and highly satisfactory to the patient; it is generally safe, with a low incidence of hematoma, infection, deep vein thrombosis, and pulmonary embolus. We sought to characterize the incidence of nerve injury and change in sensation after augmentation mammaplasty by performing a systematic review of the literature and pooled analysis.

We also present a comprehensive treatment algorithm for patients who do experience nerve injury. This information is important to provide patients with a full picture of the risks of breast augmentation and to raise awareness among plastic surgeons of the risk and treatment of nerve injury after augmentation mammaplasty. The search was deliberately broad to capture the greatest number of articles.

The search was not limited by date of publication but was limited to English-language publications; it excluded narrative reviews, editorials, letters, commentaries, and errata. Additional studies were identified by reviewing citations of relevant articles found during the search and then locating those articles.

A separate search was conducted to investigate nerve injury in mastopexy procedures. Specific inclusion and exclusion criteria were established before the search was conducted Table 1. Procedures that were nonsurgical, reconstructive correcting a defect or pathology , or revisional correction after a primary procedure were excluded.

Articles that contained no mention of nerve injury in the full text were excluded. Thus, publication bias was eliminated to the greatest extent possible, and the rates of nerve injury in our meta-analysis should closely represent actual rates. After titles and abstracts were examined by 3 reviewers S. The pool was narrowed further based on the availability of full text. When the research was conducted, S.

One investigator H. Characteristics of each publication were recorded on a data input form, including publication year, journal title, study type, and level of evidence LOE. Population characteristics, such as location, practice type, and average age, also were recorded. Any mention of nerve injury, including no nerve injury, was documented. If published, the specific nerve injured, deficits associated with the nerve injury, and duration of injury were noted.

The specific data points from each article were gathered and systematically recorded on a Microsoft Excel Microsoft Corp, Redmond, Washington data sheet. All data were pooled for analysis; specifically, we combined the number of patients from each article, the number of nerve injuries from each article, and the number of nerve and sensory deficits from each article. From our combined data, we were able to calculate pooled risks by dividing the total number of nerve injuries by the total number of patients.

For the meta-analysis, Microsoft Excel was utilized to isolate articles that presented individual data from the desired variable incision type, implant placement, volume of implant. We calculated P values, performed linear regression analysis, and graphed the data with the same software. The initial search yielded citations, of which were duplicates and eliminated Figure 1. Full text was obtained for citations, 53 of which were identified as relating to breast augmentation.

A total of 36 citations were included and reviewed. The 36 studies comprised 3 case reports, 20 , - 22 1 case series, 23 19 retrospective cohorts, 24 , , , , , , , , , , , , , , , , , - 42 and 13 prospective cohorts. The risk of any nerve injury was calculated after pooling all studies. However, the literature data were presented heterogeneously. However, in some articles, the incidence of specific sensory deficits was provided without mention of the total number of patients affected.

The latter studies were excluded from the pooled cumulative risk analysis Table 3 but included in the calculation of risk of deficits Table 4. In addition, we assumed that each breast injury occurred in a unique patient unilateral injury; a worst-case scenario. The total risk of any nerve injury, calculated by pooling all studies, was For articles in which only the number of injured breasts was given, the calculated risk was Other injured nerves included the intercostobrachial nerve 0.

A The general course of innervation to the breast, showing medial and lateral branches of the intercostal nerves numbered. The accessory deep branch to the nipple of the T4 lateral intercostal nerve is shown as a dotted line. B Detail of innervation to the nipple, which is predominantly from T4. Branches arise medially and laterally and course toward the nipple. Note that the lateral intercostal branch of T4 sends a deep branch along the muscular fascia that runs inferomedially before turning upward to penetrate the breast gland and innervate the nipple.

NAC, nipple-areola complex. The pooled calculated risks of chronic pain, hyperesthesia, hypoesthesia, and numbness after augmentation mammaplasty are presented in Table 4. However, we assumed that the symptoms occurred within the breast. The pooled calculated risks of pain, hyperesthesia, hypoesthesia, and numbness in the breast and the NAC after breast augmentation are shown in Tables 5 and 6 , respectively.

From this large data set, we were able to perform a meta-analysis of the association between changes in sensation and submuscular vs prepectoral implant placement Figure 3 , inframammary vs areolar incision Figure 4 , and implant volume.

Submuscular vs prepectoral implant placement and changes in breast sensation after augmentation: meta-analysis of 36 studies.

Areolar vs inframammary incision placement and changes in breast sensation after augmentation: meta-analysis of 36 studies. Several articles were particularly relevant and warrant individual discussion. Dorsi et al 22 described a year-old woman who experienced severe bilateral pain in the T3-T5 dermatomes, from the midaxillary line to the sternum, after breast augmentation.

Opioid analgesics, gabapentin, and 9 intercostal nerve blocks provided only minimal or transient relief. Physical examination revealed diminished sensation to light touch, temperature, and pinprick, from the midaxillary line to the sternum along the T3-T5 distribution, with intact sensation posterior to the midaxillary line.

The surgeons opted to perform bilateral T3-T5 dorsal rhizotomies rather than neurectomies because the latter would potentially require extensive incisions due to lack of specific localization, leading to unnecessary scarring.

In the case series by Lu et al, 23 11 patients experienced severe nonexertional chest pain associated with breast tenderness, heat and swelling, and nipple numbness at 6 weeks to 7 years after breast augmentation.

Findings from an extensive cardiac workup were negative for these patients. All 11 patients had their implants removed, which relieved symptoms in 2 patients and reduced them in 9. Biopsies showed evidence of neuroma, neurogenic muscle atrophy, chronic inflammation, and foreign-body giant cells.

In a retrospective study, von Sperling et al 41 evaluated persistent pain and sensory changes at a mean of 2.

Among the responders, The authors also noted that Pain symptoms were moderate to severe in 9. Some patients reported regular consumption of acetaminophen or nonsteroidal anti-inflammatory drugs for pain control.

A total of The authors found no statistically significant association between pain and prosthesis placement, or between pain and patient age, height, or weight.

The prospective, randomized, controlled, and double-blind studies by Romundstad et al 49 and Kaasa et al 55 were performed at the same medical center. A group of women who had undergone subglandular breast augmentations received postsurgical follow-up for up to 4 years. The patients were grouped into 3 cohorts according to whether they received preoperative intravenous administration of methylprednisone mg, parecoxib 40 mg, or saline placebo.

At the 1-year follow-up, the authors noted that methylprednisone administration significantly reduced the odds of hyperesthesia compared with parecoxib and placebo and that the findings of acute postoperative pain, hyperesthesia at 6 weeks, and the presence of hyperesthesia all increased the odds for pain at 1 year. They found that evoked pain at 6 weeks, concomitant pain and hyperesthesia at 6 weeks, concomitant pain and hyperesthesia at 1 year, and hyperesthesia at 4 years all significantly increased the odds of pain at 4 years postoperatively.

Objective measurements of breast and NAC sensitivity after breast augmentation were utilized in 5 studies. Tebbetts 45 noted that 4 of his first 20 patients who underwent transaxillary subpectoral augmentation mammaplasty reported unilateral numbness and paresthesias in the upper inner arm.

These sensory changes were attributed to dissection injury of the intercostobrachial nerve or the medial brachial cutaneous nerve. Modification of the dissection technique prevented future injuries, and sensation became normal in 3 of the 4 patients after 6 months.

Laban and Kon 20 described the case of a year-old woman at 4 months after transaxillary subpectoral breast augmentation. She was unable to lift her right arm above her head. Examination revealed winged scapula, with likely injury to the long thoracic nerve. She recovered completely half a year later without treatment.

She also required bilateral capsulotomy, implant exchange, and revision mastopexy 6 months after surgery. One month after the revision surgery, she experienced right breast pain with movement that radiated into her shoulder and arm, precipitated by a period of active swimming. Her symptoms persisted for 2 years until she presented to the authors for pain consultation. Physical examination was remarkable only for pseudoptosis, and magnetic resonance imaging confirmed that the implant was intact.

Correction of these abnormalities relieved her symptoms. Thirty-six reports included mention of a change in sensation or nerve injury after breast augmentation, only 1 of which stated no nerve injury or sensory change. Therefore, of the breast augmentations performed in the United States in , 1 approximately 45 patients would experience this morbidity.

Techniques for desensitizing the nipple

Techniques for desensitizing the nipple