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Images in neonatal medicine
Early recognition of rusty pipe syndrome to avoid disruption of breast feeding
  1. Jia Ming Low1,
  2. Zubair Amin1,2,
  3. Yvonne Peng Mei Ng1,2
  1. 1 Department of Neonatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Health System, Singapore
  2. 2 Department of Paediatrics, National University Singapore Yong Loo Lin School of Medicine, Singapore
  1. Correspondence to Dr Jia Ming Low, Department of Neonatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Health System, Singapore, Singapore; jia_ming_low{at}nuhs.edu.sg

https://doi.org/10.1136/archdischild-2020-321115

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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 …

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    Footnotes

    • 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.