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Try the University of North Carolina's OB Algorithm on Breastfeeding Associated Pain http://www.mombaby.org/wp-content/uploads/2016/04/PainProtocols.v3.pdf
Beverly Ann Curtis
DNP, PPCNP-BC, IBCLC
> On May 6, 2016, at 10:05 PM, Molly Brannigan <[log in to unmask]> wrote:
>
> Hello-
>
> I have a client who has very painful red nipples. Her doctor had started
> her on diflucan and topical clotramizole/betamethasone four days before we
> met. Mother had seen no relief; in fact pain had gotten worse.
>
> I suggested cause could be bacterial, in part because of lack of response
> to diflucan and part because it looked red not pink/fuschia. Mother was
> unconvinced. Course of diflucan is now complete; mother reports pain and
> redness worse than ever. Doctor feels that bacteria only presents as
> inflammatory mastitis and is unwilling to consider treatment for bacteria
> without research.
>
> Any research I can share with this doctor? She seems open to learning
> something new, but only if I can provide documentation.
>
> Thanks, Molly
>
> Molly Brannigan, IBCLC
> Oakland, CA
>
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