This is the WHO document on mastitis (50 pages)
http://www.who.int/reproductive-health/docs/mastitis.pdf

This highlights
            *Many lactating women who have potentially pathogenic bacteria 
                       on their skin or in their milk do not develop mastitis
                                                        but
many women who do develop mastitis do not have pathogenic organisms in their milk*

>This time they are 'allowing' her to
continue feeding while she is treated with a/biotics and a sample has
gone to the lab for checking again.
My understanding has always been that a clean sample of breastmilk is
hard to get - what about the contact of the milk with the nipple,
which may have all sorts of flora on it?  But anyway....>

Can't understand why a sample has been sent at all, as the results will be inconclusive.
The focus should be on helping the mother to effectively & painlessly bf.

>Her symptoms are on both breasts, and she feels pain 'radiating'
between feeds, often if she is going over a speed bump in the car,
she says. It is also painful to feed, though the sore cracked nipples
she had in the first days are now ok. Baby is fine, thriving, no
issues with him.>

Sounds like any minor friction is causing pain.
Heard somewhere about nerve endings having a *memory * of pain, even when the trauma is healed.
Does anyone know anything about this (or am I imagining it?)



Sheila Company (UK)
 IBCLC, Health Visitor & NCT breastfeeding counsellor


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