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Date: | Thu, 3 Jul 1997 17:13:31 -0400 |
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I hope one of the physicians responds to this. I am more than a bit concerned
about the flawed logic in the case you described.
>>The surgeon severed a duct during the surgery, was unable to reattach it,
and so tied it off. <<
I am assuming that the redness and swelling is related to the same duct.
After just going through sepsis myself I can understand the reason the dr.
wants the antibiotics (just in case).
From your comments:
>> was concerned that bacteria from the child's mouth would infect the
surgical site. <<
It seems that the surgeon may have decided that it IS mastitis because mom is
STILL breastfeeding on that side and not looking at the most obvious
cause--the severed and tied off duct. If there are no systemic symptoms eg.
fever, joint pain, flu symptoms etc. the assumption of mastitis is not
logical.
I have seen a lot of this type of problem in moms that have breast surgery. A
severed duct will continue to be red and painful until it involutes. This is
a localized reaction to the backup of milk. Milk in the breast should be
sterile--provided no bacteria were introduced during the removal of the
galactocele.
Marie Davis, RN, IBCLC
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