Kathy
I had a similar experience with a mother who kept getting mastitis. She
had successfully breastfed 2 children before. She appeared to have an
adequate supply, though baby's gains were slightly less than optimal.
At around 4 months baby was hospitalised due to vomiting, dehydration
and FTT. It turned out that baby had pernicious anaemia, secondary to
maternal pernicious anaemia of unknown cause. Mother is a meat
eater.Apparently this is very rare, but it made me realise that
recurrent mastitis may be caused by a health problem in the infant
causing ineefective suck.
Gerri Boland
"Kathy Leeper, MD, IBCLC" wrote:
>
> Hi all-
>
> I have run out of suggestions for this mom...any more ideas(I have her
> permission)?
>
> 35 y/o mom, first baby. Saw us first at 1 month of age, at which time baby
> was 1 oz above birthweight. Mom had been supplementing with 4 oz formula
> per day. Had not had trouble with plugged ducts at that point. Started
> fenugreek, deeper latch, breast compressions, pumping after nursing for
> extra stimulation/removal and supplement. The assessment was that she had a
> non-demanding baby who slept at the breast with a shallow latch. Since then
> he has gained 3 pounds in 2 months...however...
>
> 2 weeks after seeing us she developed a plugged area in left breast leading
> to mastitis, and took Keflex for 10 days, and this resolved. Mom was stil
> needing to supplement quite a bit (now via Lact-aid). 3 weeks later area in
> right breast flared up. Mom feels these tend to occur when she is making
> strides in increasing her supply. Has been managing by pumping, ibuprofen,
> massage, pumping, castor oil packs, lecithen, grapefruitseed. She gets a
> "flare-up" about once a week, in revolving areas, and is understandably
> frustrated, but determined.
>
> I guess my main question is, why do some moms do this?? We have 3 right
> now, one of whom quit yesterday. Is it worth a trial of Diflucan, even with
> no overt yeast symptoms? I seem to have in the back of my brain that I have
> heard the theory that yeast may cause them to have chronically inflamed
> ducts, making them prone to plugging? (or did I dream this?)
>
> Thanks-
>
> Kathy Leeper, MD, IBCLC
> Medical Director
> MilkWorks, a nonprofit (finally got our 501c3 status approved!!)
> breastfeeding center providing consultations, education, support and related
> supplies in Lincoln, NE
>
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