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Subject:
From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 21 Sep 2002 00:51:05 +0000
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Hi Brenda,
Great that the doctor is supportive and looking at options and allowing bf
on the opposite breast. As you know, when the herpes outbreak is an initial
one (very first time ever) it is generally more virulent and contagious. So
the doctor is right to be concerned. Once the lesions are cleared it is
generally considered safe to bf. Theoretically there could be some viral
shedding right after lesions are healed and right before another outbreak. I
would suggest testing/culturing the milk of the breast that was affected to
ease the doctors fears. I think it will be negative. Why is the milk on the
other side OK? Would the virus just be shedding (if it was shedding) on the
previously affected side? My understanding is that the virus lives but is
dormant along nerve pathways and then activates w/ stressors. So I don't
know if we know that there is or isn't dormant virus in that breast but not
the other? More questions. Very interesting case.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA


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