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A 30-year-old primigravida delivered a healthy term female infant. As the newborn latched poorly in the first hours postpartum, mother performed hand expression and painlessly collected brown-coloured colostrum from both breasts (figure 1). Mother was initially advised by doctors not to breastfeed, and newborn was fed infant formula. Mother’s breasts and nipples were normal on examination. Subsequently, with the provisional diagnosis of rusty pipe syndrome (RPS), mother was supported to resume breast feeding. Baby’s latch improved, and mother exclusively breast fed by …
Contributors All authors contributed to the design and implementation of the research, to the analysis of the results and to the writing of the manuscript. ZA and YPMN provided critical feedback and helped shape the analysis and manuscript writing.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.