----- Original Message ----- 
From: "Renee Hefti" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, January 31, 2006 1:41 PM


> Greeting to fellow breastfeeding supporters,
>
> My name is Renee Hefti - Graham from Vancouver, Canada.  I have been an RN 
> and LC for a long time but have never posted on Lactnet.  I am pleased to 
> recognize many of your names and some of you may recognize my name.  In 
> the 90's, I managed the WABA Breastfeeding Booth at the ILCA Conferences. 
> I spent 2 1/2 years working in the United Arab Emirates - was hired to 
> implement the BFHI which was a wonderful experience.  Presently I teach 
> prenatal bf classes (hospital) work casually as an LC (2 hospitals) and 
> have a private bf practice in the Vancouver community.  I have never 
> advertised my private practic (just word of mouth) as I don't want to get 
> too busy as I provide free telelphone follow-up to my clients (the 
> volunteer part of my job!)
>
> A client gives me permission to post:
>
> Severe PUPPS (pueperal urticaria of pregnancy) that started during the 
> last 2 - 3 weeks of pregnancy.  The rash, that left scars on her ankles, 
> was treated with steroid creams.
>
> Usually PUPPS disappears with delivery.  In the case of my client, it did 
> subside but returned 2 weeks later.  She is now 3 weeks postpartum with 
> severe discomfort from the itchy, hot rash over most of her body including 
> the palms of her hands.
>
> She has tried all the usual suggestions: loose cool cotton clothing, 
> oatmeal baths, cool cloths and increasting fluids.  She has seen a skin 
> specialist who has ordered antihistamines, and steroid creams but nothing 
> is helping. She has been told the PUPPS is because of bf hormones.
>
> Anyone have any suggestions?  There is lots posted on PUPPS prenatally but 
> not much info for the post-partum woman.  I am encouraging her to have 
> blood work done to rule out possible other causes.
>
> Sorry for the long first email, Renee 

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