Sierra Jansen, MD, PGY-3, and Katherine Sampene, MD, of the UW Ob-Gyn Division of Academic Specialists in Ob-Gyn, will publish a case report in the May 2019 volume of Obstetrics and Gynecology.
In “Raynaud Phenomenon of the Nipple: An Under-Recognized Condition,” the authors present two case studies of pregnant and postpartum patients experiencing intense breast/nipple pain and discoloration. As stated in the piece, addressing barriers like intense pain for nursing mothers is necessary for breastfeeding continuation, but ob-gyn clinicians often feel ill-equipped to address breast pain in pregnant and postpartum women.
“Ob-gyns are commonly the first point of contact for patients with breast concerns. Specifically, breast and nipple discomfort during pregnancy and the postpartum period is extremely common. Education in this area, however, is often lacking for the obstetrician. It is commonly omitted from clinical and residency education. Many providers are therefore uncomfortable with addressing the concern. The clinician may conclude the pain is normal or may defer patient questions to a nurse or lactation consultant. Although it is highly beneficial to work with nursing and lactation consultants, complete deference to other personnel may cause a delay or a missed opportunity to diagnose and alleviate symptoms.”
Read the whole case study here. Excellent work, Dr. Jansen and Dr. Sampene!