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Tue, 15 Nov 2005 09:52:49 EST |
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I am working with a mom who has a 5 week old, exclusively nursing, well
developing, baby # 2. Everything going well, but mom developed mastitis on
Saturday. OB called in a script for cephalosporin. He also wanted to give her
parladel because breastfeeding is "dangerous" for the baby when mom has mastitis
and the milk needs to be dried up ( his advice). She refused that.
Her temp is still running 102.2 today, even while alternating taking
acetaminophen and ibruprophen with the antibiotic. The area of redness is spreading
toward the outer areas of her breast-it was located near the areola on
Sunday. She has tenderness, fullness, and it is extremely warm. She does have a
small knot this AM near the edge of her areola.The baby is nursing on that side
but not as well. Mom has typical "flu-like" symptoms. She is hand expressing
some after the baby nurses on that side to keep it from becoming engorged, and
is using warm compresses, is on bed rest, and drinking plenty of fluids. I
am seeing her this afternoon.
My question is:
Dr Newman's book says he likes to use cephalexin for mastitis. What is the
difference between that and cephalosporin? Is 3 days on cephalosporin enough
time to start decreasing the symptoms?
I had recurring mastitis with my third child but each time, I was ok by day
2 and then would relapse about 2 weeks later. I was never ill over 2 days.
After the 9th time, I used antibiotics for a 30 day course and it never
returned. This is her first incident with mastitis with either child. Most moms
that I have worked with have not been this ill. She is an RN and she says she
has never been this "down to her bones aching ill".
Any words of wisdom, advice??
Thanks.
Barbara Whitehead, BS, IBCLC, RLC
eastern NC
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