I am concerned that introducing formula now could theoretically increase 
the baby's susceptibility to the viral exposure it has already had. 
Since the NP didn't pick up on the blister, there won't be any antiviral 
meds in the mom for the present. Also to know: she's never been a real 
abundant supplier. I can't tell if Lawrence says it's OK for the baby to 
bf while the mom is on antivirals *because* of the meds concern or 
*because* of the viral concern (which concern is being put to rest?); 
plus, she doesn't address the "pump and dump" versus "feed EBrM from the 
affected breast" question, at least not in my edition.

Here are her three choices, as I see it--

(1) pump and dump from the affected breast, nurse on the unaffected 
breast, and introduce formula to make up the difference; or
(2) breastfeed the unaffected side and then feed the EBrM from the 
affected side; or
(3) let the baby be somewhat hungry for two or three days as her milk 
supply from the non-affected breast picks up.

Arly Helm, MS, IBCLC

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