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Date: | Tue, 3 Jul 2001 23:26:31 +0200 |
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Thank you to Frank for this overview. I second Gonneke's question about why
to assume that mastitis shortly after birth is penicillin-resistant staph,
and I wonder whether one should make this assumption even when the mother
has given birth at home with a community midwife who herself is not daily
immersed in the bacterial cesspools present in most hospitals? The only
mothers I have seen with serious infections requiring hospital admission
after home birth, have been hospital employees who worked until shortly
before giving birth, and I don't think that is plain coincidence. One
worked on a pediatrics floor with children hospitalized for infections (she
got a galloping mastitis less than a week post-partum, and yes, there were
some BF problems which contributed) and the other worked on a dialysis unit
(she got endometritis).
Also, I bet I am not the only one wishing for more info about why not to BF
if Bacitracin or Chloramphenicol are needed to treat mastitis.
Speaking anecdotally now: we (everywhere in Norway) give babies
chloramphenicol eye drops from the second or third day of life if they
develop bacterial eye infections. I learned as a nursing student in the US
twenty years ago that the risks of side effects of chloramphenicol were
present regardless of the route of administration, yet we use it *all the
time' here, it is our first choice for these infections, and it works well.
Another anecdote: my own daughter was treated with IV Chloramphenicol for 10
days for a presumed septicemia when she was 19 months old and still
breastfeeding. I know 19 months is not a newborn, but if I had gotten
mastitis while nursing a toddler which required treatment with
chloramphenicol, surely I could have continued to breastfeed?
wondering in Kristiansand, Norway
Rachel Myr
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