Hi Everyone,

Looking for some help w/ a mom who is experiencing repeated plugged
ducts and mastitis.  Permission to post.  
Baby began sleeping through the night at 4 weeks, and mom experienced
her first plugged duct.  She had a fever and chills, but was not treated
w/ antibiotics.  Mom treated w/ heat and massage and plug resolved.  She
then had a mastitis at 7 weeks, fever, chills, and was treated w/
antibiotics, and mastitis resolved.  Since then she has had 10 more
bouts of plugged ducts, 6x she had chills, red streaks and flu-like
symptoms, but was not treated. 2 times total she was treated w/
antibiotics.  She has only been treated w/ antibiotics if her fever was
over 101.  She has been taking lecithin for 4 months w/o improvement.
She has no medical conditions that she is aware of.  She takes vitamins
w/ iron, folic acid and calcium.  Her baby continues to sleep through
the night.  Baby is healthy and happy and weighs over 15 pounds at 6
mos.  On examination nipples are intact, breasts soft, no plugged ducts
at this time.
Mom wants to continue nursing for at least 6 more months, but she is
becoming fatigued w/ these repeated episodes.  Any thoughts on a
treatment plan?  


Mary Foley RN, BSN, IBCLC
Melrose-Wakefield Hospital. MA

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