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Thu, 25 Jan 2007 10:42:28 -0800 |
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Wise ones,
I searched the archives for this particular situation and could not
find. Permission to post: Certified Nurse Midwife has hx of primary
HSV 1 nipple lesions (confirmed by culture) occurring after
breastfeeding toddler ( age 2) with HSV 1 lesion on mouth She had no
prior hx of HSV 1. She is very knowledgeable re: latch/position, etc.
but still had nipple break down first month of nursing--has very fair,
sensitive skin. Now, a year later, she is pregnant with second child
and has questions about nursing her future newborn: Is there a risk of
transmitting HSV 1to baby if nipples have breakdown (not herpes lesion)?
If she already has tissue breakdown from normal nursing, how will she be
able to identify a lesion beginning to form? What about prophylactic
treatment prior to delivery?
She does not want to put her newborn at risk and is cognizant of
seriousness of herpes in neonates. She has discussed this with her
pediatrician, who contacted a neonatologist. Neither had experience
with this particular situation nor could offer advice. Lawrence and
Riordan both state OK to nurse with HSV 1 if no active lesions, but
don't address risk if nipple breakdown (not HSV 1 lesions) is present.
Best case is no nipple breakdown to begin with, but she is not
confident that will be the case, despite best breastfeeding practice.
Anyone have experience with nursing newborns after previous HSV 1
outbreak on nipples?
Thanks for your help,
Carolyn Jacobson, RNC, IBCLC
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