A mum consulted me on day 7 postnatally with  badly damaged nipples. I
suggested changes in the baby's position and latch after which, position and
latch looked great and baby fed really well. However, she still had some
pain throughout the feed. That evening she developed mastitis and was
prescribed antibiotics the next day. After the first dose of antibiotics the
pain during the feed subsided and after a few doses she had no pain. She
continued to position and latch the baby in the way I had shown her so the
only difference from the time of my consultation, were the antibiotics.

I feel sure that the position and latch of the baby was optimal. As the pain
disappeared with antibiotics, I am wondering if the continuing pain was a
sign of developing mastitis rather than the latch hadn't been corrected. I
would appreciate your more experienced  views please.

Paula Duppa-Miller IBCLC
Dubai

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