Dear Fellow Lactnetters,
Kinda Long.........Sorry
Help! I have a situation that I would like suggestions regarding.
I have a friend, first baby, delivered 2 months ago, vaginal birth. 7 days
postpartum diagnosed with endometritis, treated with Floxin X 5 days and was
told to pump and discard breastmilk because of the medication. Which she did
and the baby was cow's milk based formula X7 days. She was told not to
resume BF for 2 days post treatment....effects of meds. Anyway she (Mom)
developed severe diarrhea during the last few days of treatment and was
hospitalized for rehydration. Baby did resume breastfeeding and has done
great. Birth weigh 7#11 and over 10# now. Beginning about 2 weeks ago, baby
developed a generalized rash and mom took him to doctor, who diagnosed an ear
infection....probably cause of rash (per doctor). Makes sense. Infant
treated X14 days with amoxicillen. Just after completing treatment, next
day, baby broke out in rash after feeding. Called doctor who stated probably
just something different (detergent, etc.). After each subsequent feeding
rash got worse.....then within 24 hours baby definitely having an allergic
reaction and developed hives during feeding. Mom rushed baby to doctor's
office, confirmed allergic reaction (hives) sent home with infant taking
Benedryl every 6 hours X 5 days. Mom calls wanting to know what to
do.......says even with Benedryl, the baby is still having some hives with
feedings.....stated "you can see him breaking out, it is not as bad as
before"
I talked with her regarding any changes soaps, detergents, foods,
medications, etc. Suggested she keep a log of her food consumption, possibly
eliminating all cow's milk and other potential allergens, eggs, etc.
Also document clearly everthing......severity of reaction, (head, face,
trunk, etc.) Time in relationship to feeding. Bath time. Diaper changes.
Also talked with her about meticulous handwashing. (Could she have touch a
potential allergen, then the baby?)
Any ideas.....what am I missing.
Thanks,
Laura Burnett RN, CLC
Fort Worth, Texas
***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
