This seemed like a useful, recent article to share:
http://www.medscape.com/viewarticle/527409_1
It does admit that thrush can be mis-diagnosed or over-diagnosed in
breastfeeding women and that more research is needed, but in the
here-and-now, we need to take active, practical steps to help keep women
breastfeeding. It recaps some diagnostic guidelines, and stresses the
need for the longer course of Diflucan for systemic yeast (instead of
the one or two day course that OBs are familiar with for vaginal yeast
infections).
Margaret Sabo Wills, LLLL, IBCLC
Maryland
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