<Pain in the breast that is coincident with breastfeeding is trivialized
by
the medical profession, and mastitis is poorly understood.  Most of the
texts describe febrile sx as the marker for mastitis, and it seems to be
required to receive treatment.  Yet few of the women I see are febrile.>


If YOU feel this way, then I don't feel quite so bad about being unsure
when to refer for evaluation for Abx! Just had a mother Friday in tears
with breast sensitivity and plugged duct symptoms, too sensitive to even
think of having her massage under the shower.

It being Friday afternoon, the mother having little or no social support
system to help her with the baby, we opted to call the MD's office to ask
that they work her in that afternoon for evaluation for Abx treatment.

We took care to instruct her, verbally and in writing, to KEEP THE MILK
MOVING as much as possible, and don't give in to any temptation or
anyone's recommendation to wean cold turkey, as it would just increase
chances of worse complications.

The opposite extreme is still omnipresent: Too many mothers are still
being told "We'll treat with Abx and have you wean immediately!"

< What we don't know about mastitis in humans would fill a
textbook.>

Definitely. Just such astute questioning as yours will one-day lead to
someone editing one, with many contributors though!

Jean
*********
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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