Hi Laurie. Reading quickly here. Is there a  reference for this
recommendation in the text? I have not seen this recommendation anywhere
else...re: 24 hour weaning nec. For Staph A mastitis. Kathleen

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of laurie wheeler
Sent: Monday, April 28, 2003 9:39 PM
To: [log in to unmask]
Subject: infections and bf


hi
i had posted this a few months back w/ no replies. I was checking some
infection info due to moms being told not to bf if they have a fever
over 100.4F. What are your comments on the following recommendations(see
below)? Do you follow these recommendations? Especially primary
providers like doctors and nurse practitioners please respond. What
about the mastitis recommendations?

From 1999, 5th edition, Breastfeeding - a guide for the medical
profession by Ruth Lawrence MD, table E-1 p. 869:

Breast abscess - discontinue ebm x 24 hrs after surgery; no bf x 24 hrs

Endometritis/PID for group B strep - bf ok after 24 hrs of therapy; ebm
ok.

Haemophilus influenzae - bf after 24 hrs on therapy; may give ebm

Mastitis - staph A - bf after 24 hrs of therapy; discard milk x 24 hrs
Mastitis - group A strep - same as above

thanks,
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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