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Subject:
From:
"Cindy Curtis, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 5 Feb 2000 23:23:26 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (132 lines)
It seems strange to me that only 1 person out of about 2,000 responded to
this post so I am resending it.............  with the hopes of generating
some responses this time......

In my original e mail to her(see it posted at the end of this post), I told
her that I would share her response with you all, so here it is.... NOW does
anyone have access to this article she mentioned?!  I searched and searched
for it, I discovered that Volume 124 was in 1994, so I am assuming that
volume 91 is much older....... is the data even up to date???  HELP!

Subject: Re: DIAGNOSIS AND MANAGEMENT OF BREAST PROBLEMS


> Dear Cindy - You are not the first lactation consultant who has questioned
> this statement. Here references dealing with the question:
>
> Kenney JF, Zedd AJ "Recurrent group B streptococcal disease in an infant
> associated with the ingestion of infected mother's milk" Journal of
> Pediatrics Volume 91 pages 158-159
>
> There are others. Please be assured that I believe in breast-feeding and
> feel that in most instances it need not be interrupted. I DO believe,
> however, that women should be informed that there have been rare case
> reports of life-threatening infections in infants, as described in the
> brief posting on the Web.
>
> Thanks for your interest. Carol Scott-Conner MD PhD.
>
>
>
>
>
> At 09:22 AM 2/4/00 -0500, you wrote:
> >Dear Doctor Scott-Conner,
> >
> >I was on the internet searching for information about a breast abscess
and
> >found your page.
> >DIAGNOSIS AND MANAGEMENT OF BREAST PROBLEMS
> >DURING PREGNANCY AND LACTATION
> >Carol EH Scott-Conner, MD, PhD
> >Department of Surgery
> >The University of Iowa Hospitals and Clinics
> >http://www.surgery.uiowa.edu/prbr.html
> >
> >I think it is a great page and very informational, but I have never heard
of
> >the following statement before :
> >
> >"Because milk is an excellent culture medium, the breast must be kept
empty.
> >Breast feeding from the contralateral side may usually be continued;
> >suckling from the affected breast has been reported to cause pneumonia in
> >the infant and should be avoided."
> >
> >I am a registered nurse and International Board Certified Lactation
> >Consultant and have never read that nursing from the affected side could
> >cause pneumonia in the infant, in fact the literature that I have states
> >that mom should continue nursing from both side if she has mastitis or
> >abscess.
> >
> >Could you please provide me and my colleagues with the references you
used
> >to support this data?
> >
> >I am on a professional e mail list for lactation consultants and
physicians
> >and we are anxiously awaiting your data!
> >
> >Thanks so much!!!!
> >
> >
> >Cindy Curtis,RN,IBCLC
> >mailto:[log in to unmask]
> >http://www.erols.com/cindyrn
> >
> >
> Carol EH Scott-Conner MD PhD
> Professor and Head
> Department of Surgery
> University of Iowa College of Medicine
> 200 Hawkins Drive, #1516 JCP
> Iowa City, IA 52242-1086
> (319)356-0330
> FAX (319)356-8378
> http://www.surgery.uiowa.edu/

My letter to her :
Dear Doctor Scott-Conner,

I was on the internet searching for information about a breast abscess and
found your page.
DIAGNOSIS AND MANAGEMENT OF BREAST PROBLEMS
DURING PREGNANCY AND LACTATION
Carol EH Scott-Conner, MD, PhD
Department of Surgery
The University of Iowa Hospitals and Clinics
http://www.surgery.uiowa.edu/prbr.html

I think it is a great page and very informational, but I have never heard of
the following statement before :

"Because milk is an excellent culture medium, the breast must be kept empty.
Breast feeding from the contralateral side may usually be continued;
suckling from the affected breast has been reported to cause pneumonia in
the infant and should be avoided."

I am a registered nurse and International Board Certified Lactation
Consultant and have never read that nursing from the affected side could
cause pneumonia in the infant, in fact the literature that I have states
that mom should continue nursing from both side if she has mastitis or
abscess.

Could you please provide me and my colleagues with the references you used
to support this data?

I am on a professional e mail list for lactation consultants and physicians
and we are anxiously awaiting your data!

Thanks so much!!!!


Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn

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