>Has anyone seen thrush on nipples in the immediate postpartum (24-48 hrs)

Has this woman breastfed previously? I have seen it recur very quickly if
she has had nipple/breast thrush in the past - even years earlier.
Otherwise, it is often hard to be sure in the early days postpartum.
However, if you are strongly suspicious of thrush (and who isn't??) you
could start your usual thrush regime.
Lisa Amir
GP / IBCLC in Melbourne, Australia