Hi, Janet-
First of all...this is not a milk fistula. Those are very rare- it is when milk leaks to the outside through a scarred path. You may be describing a galactocele, or simply an abscess that has not been adequately treated. NEITHER one are reasons to wean. Surgeons tell mothers to wean because they are ignorant of how to deal with a lactating breast. If it is a refilling abscess it needs to have a drain for a few days (NOT to suction) and if it is a galactocele, it probably needs to be removed if it is causing her trouble.
This mother needs to find a surgeon who is knowledgeable about lactating breasts- that can be very difficult. Where is she located?
Kathy Leeper, MD, FAAP, IBCLC, FABM
Breastfeeding Medicine Specialist
Medical Director
MilkWorks, a non-profit Community Breastfeeding Center
5930 South 58th, Suite W
Lincoln, NE 68516
Phone (402) 423-6402
FAX (402) 423-6422
MilkWorks O
10818 Elm Street
Omaha, NE 68144
Phone (402) 502-0617
www.milkworks.org
www.facebook.com/MilkWorks
Creating a Healthier Community by Helping Mothers Breastfeed Their Babies: Since 2001!
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Date: Mon, 5 Apr 2021 05:12:53 -0400
From: Janet Prince <[log in to unmask]>
Subject: Potential Milk fistula
I have a lady that had a breast abscess drained but it keeps filling with milk and is just not healing The Dr is telling her to stop breastfeeding if it hasn't healed by middle of this week. She'd be heartbroken to do this.
Has anyone got any ideas please.....?
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Date: Mon, 5 Apr 2021 20:43:06 +0200
From: Jean Ridler <[log in to unmask]>
Subject: One percent
In general less than 1% of a medication passes into breastmilk. I read this many years ago and have seen it in print many times, but I cannot find the reference. Is this statement no longer true in light of new info? Can anyone refer me to a reference? Much appreciated.
Jean Ridler RN RM IBCLC
Cape Town, South Africa
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End of LACTNET Digest - 4 Apr 2021 to 5 Apr 2021 (#2021-17)
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