Simultaneous treatment for mother and baby is essential. Also, identifying 
sources of reinfection--breastpump parts, pacifiers, toys, burp 
cloths,nursing bra and/or nursing pads, baby's cloth diapers, etc. is 
necessary. Using paper towels for handwashing and not reusing face cloths 
or burp rags until they are washed in hot water and dried ideally in the 
sun or in a hot clothes dryer. Mom should boil all toys, nipples, etc. for 
1 week during treatment then discard and get new. If her budget is 
limited, she could soak these items in a 1 tbs white vinegar to 1 cup 
water solution prior to boiling to see if that helps. Also look at Mom's 
diet and eliminate anything that yeast thrives on--processed foods, white 
flour, white sugar, caffeine, dairy products, and add a good probiotic 
with acidophilus to both mom and baby's daily regimen. I hope these tips 
help to identify the reason the thrush is so persistent. It can be 
excruciatingly painful to deal with. There are other things that can be 
done, but Mom may be pretty tired of the situation, so these are starters 
that she can feel proactive about without remembering to take more 
medicine or get yet another prescription filled. Post back or to me 
privately if you need more info. Personal aside, we battled the thrush 
beast for months before eradicating it. Your Mom has my full sympathy!

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