On 14/12/2003, at 3:33, Claudia G. RN/IBCLC wrote:

> I have a mom with a 2 week old who has developed shingles.  Ped told
> her she could bf as long as there were no lesions on her breast.
> Today she called me because she thinks she is getting a rash on her
> areolas and is afraid to put the baby to breast.  My questions are:
> Should this mom have the baby feed at breast, and
> if she shouldn't nurse, can she feed the milk expressed if the rash is
> on her nipples?

Shingles in an immunocompetent woman should be unilateral - if it's on
both nipples, it's probably not shingles (or she has underlying issues
that need evaluation). Has she had a formal diagnosis?

Lara Hopkins
family doc in Perth, WA
EPing for Luke, 14 months and 4 days

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