Hello Wiseones

I was asked to see a women, who was 5 days postpartum today, because she had deep breast pain. Primip  34/40 gestation NVD
I did notice that both her nipples looked bruised or slightly purple she reported that they always looked like that. 
She described tingling and breast pain that started on her right breast, and was now in her left breast but not as painful(I did talk to her about the Mammary Restriction Syndrome)  even when she was wasn't feeding or expressing she had pain, when she was lifting her arms.
Her nipples didnt appear to have a shiny look but did appear slightly red. She also reported that she was very susceptible to Thrush
When I showed the specialist the recommendations from  the Breastfeeding Answer book, he was very angry and suggested that  Lactation Consultants were over the top, and we were intervene  when we should leaves things alone. He also said it was a trendy diagnosis.
He also suggested that the recommendations from the book, could cause brain damage, and he wanted a copy of the recommendation and he was going to take it further:{
He did prescribe 150mg stat dose of Fluconazole, and  he did apologise for yelling at me:}
So now wiseones, can anyone give me  research articles that I can read and  pass on to him.

Sincerely

A bit battered and bruised 

June Nicholls
Lactation Consultant


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