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Lactation Information and Discussion

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Subject:
From:
Allyson Michaels <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 15 Jan 2019 01:06:18 +0000
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I have permission to post. Second time mother, delivered two weeks ago, at 34 weeks. Infant being treated for suspected urinary tract infection with Ampicillin and Gentamycin. Several days ago, she developed a fine area of redness across the top of her right breast. She complained of itching with her let down with both breastfeeding and pumping. Her other breast is not affected, nor are the areola and nipple. She denied any change in laundry detergent, soaps, lotions, or the soap she uses to wash her pump parts. The area of redness is diffuse, not like an area of redness with engorgement or mastitis. It is not raised. It began 3 days after infant was started on antibiotics. Odd though, it is only with MER. I recommended she talk with her OB to start and that she may need to see breast surgeon or derm. I wondered about topical hydrocortisone.  She did not have this occur with her first child. Any thoughts?
TIA,
Allyson Michaels, MSN, RN, IBCLCCharlottesville, VA

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