Dear Melanie,
Thanks for the helpful post. If you don't mind, I will forward to the list
as I like the idea of trying to target milk gathering from affected lobes.
Barbara Wilson-Clay BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, July 19, 2000 10:06 AM
Subject: milk cultures
> Barbara -
> For what it's worth - We do milk cultures but not all that frequently.
For
> lack of protocol, in desperation we decided on "clean, mid-stream catch".
We
> clean the breast, use clean gloves, and get the flow going, and then try
to
> get a spray into the jar. Getting a spray going first probably helps
flush
> off some skin flora. We collect in a urine specimen container... If we
are
> going for a particular duct that seems infected, we have the mom lean over
> and try to get as many drops as possible from that duct into the jar. She
> finds the most painful spots, we palpate the duct line, and express as
gently
> as we can but still getting a flow from that duct - or those particular
ducts
> - and have her lean over rather than have to scoop it up from the skin.
> Because this milk is often inspissated, getting this can be a bit
acrobatic.
> Well worth it, it has led to a total re-think on some antibiotic regimens.
I
> have found that when I call a doc and make the recommendation they are
> delighted with the option for some quantification and identification of
> organisms. Makes them feel science can be applied to lactation, I guess.
> (My staff and I love the little light-bulb of a 'duh' that goes on in
their
> brains when we suggest a culture.)
> Excuse the private post - feel free to post to the list if you think it
might
> be helpful.
> Melanie R. Ashworth RN, IBCLC
> Program Director
> Lactation Center, LPCH @ Stanford
>
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