Talk to me about galactoceles... PTP - My client is in the hospital, originally for mastitis.  Pain, fever, redness, warmth, along with plugged duct.  Her breast was visibly swollen, and a lump was palpated.  Next day (yesterday) -- sono was done and needle aspiration released 100 mL milky fluid from a 7 cm area.  Doctor says galactocele... the largest one he has seen, but the mom is still miserable with mastitis-like symptoms and worsening swelling that are not improving with various antibiotics.  She continues to pump what she can and attempts to put baby to breast.  Mom has a difficult history... in 3 months of breastfeeding mom has dealt with poor transfer, terrible nipple trauma, PTT/ULT revision, subsequent bodywork, clogged ducts, nipple shield (because she could not tolerate the painful latch)... and baby continues to struggle with a crummy suck.  And she is determined to continue breastfeeding.  What are some potential options for her?  Poor momma.

Trish Wierenga, BSN, RN, IBCLC, LLL Leader

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