Hi, 
I know I'm a few days behind, but I saved the previous 
discussion since I wanted to comment on it. 
Susan wrote: From: " [log in to unmask] " 
<[log in to unmask]> 
Subject: Hep C 
Hi Mary, I would have a talk with Hep C + mother about 
paying attention 
to optimal latch to the areola to avoid nipple 
damage/cracking/bleeding. 
And to avoid breastfeeding for 24-48 hours in the case of 
nipple bleeding. 
Otherwise ~ Go ahead and breastfeed!!Susan in Minnesota 
rn ibclc 
I have seen that as the recommendation before, but once 
blood is noted in the milk, we know it's been there for a 
time already, be it microscopically. We had a mother with 
Hep C who choose to breastfeed, then she did have nipple 
damage and was panicked. We did not know what to advise 
her and even called Ruth Lawrence's lactation study line 
and they didn't know what to advise her either. I think 
it's unrealistic to tell a mom with Hep C that there is a 
risk if you have bleeding nipples but you should 
breastfeed anyway. We can't assure a perfect latch, no 
pump damage, no papilloma, the baby never biting, etc. So 
what are the real World answers? 
Thanks, 
Karen
Karen Kurtz, IBCLC
[log in to unmask]

Professional Lactation Services for
Breastfeeding Success.
http://www.BreastfeedingSuccessNJ.com
(856) 448-4666   (856) 448-4MOM

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