Of note from 2 recent "cases":

1.  One mother has noted her baby stops
nursing much for about 3 days during which she gets mastitis.  The baby
prefers to sleep during this time.  Then she goes at it!  Each of these
periods coincides with a typical growth spurt period.

2.  A Thai mother gets mastitis - or so we think/thought.  Her baby will
not suck on the infected side because the nip has gone horizontal - seems to
be lying flatt, attached because of fuller breast.  The non-infect.  side has
a nipple that is as long as a bottle nip and does not recede after feeding.
Baby needs noexertion to have nipple in mouth (like the bottle oneshe
sometimes sucks from!) Nipple confused at the breast!  Mother decides to wean
and receives help from another dr.  , female.  This includes bromocriptin.
After a week of no longer needing my services, and about 10 days of anti-b-
her breasts are full and the mastitis is the same.  I can only suspect that
her ducts were injured during post-birth engorgement when a nurse pressed
hard and painfully.  She has had pain there since the birth.  How do you heal
that?

Anne C.Kaeser BA, IBCLC           e-mail:  [log in to unmask]
Ulmenstr.4                        phone:   +49 8191 65617
D-86916 Kaufering                 (Germany)