Subject: | |
From: | |
Reply To: | |
Date: | Fri, 11 Jun 1999 09:55:54 -0500 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
The thing that interested me about Martha's complicated case was the
combination of breast pain that didn't respond well to anti-fungal therapies
of all sorts (just eventually went away) and low milk supply. I suspect
that the woman had a low-grade breast infection of bacterial origen.
Reduced milk supply is a symptom of infectious mastitis, as is chronic pain.
I have recently seen a mother whose baby has a medically dx case of oral
thrush. She'd had very mascerated nipples. I weaned her to a pump because
she couldn't tolerate nursing, used topical antibiotics, rest etc. and got
nipples healed, re-taught positioning etc. But when her breast pain
wouldn't go away, my first thought was fungal infection. I initiated
measures for that, urged the MD to consider diflucan, etc. but also obtained
a milk sample. Results were bacterial infection. She never ran a fever, so
that stumped me and would have distracted me from concluding she had
mastitis had the culture not given that info. In these long-running pain
cases -- esp. with reduced milk supply, I submit that maybe we ought to be
doing more cultures and sensitivities.
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html
***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|