The ob is just setting her up for his performing a c-section.

On Tuesday, April 30, 2013, Brandy Hansen wrote:

> PTP
>
> Saw a 31wk preg mom in class yesterday.  States she has been battling MRSA
> for 5 years now.  The only place she has wounds are in the groin and armpit
> areas where she sweats and has had folliculitis in the past.  She said they
> have tried rounds of other antibiotics over the years to no avail at
> eliminating--wan't able to recall all, but has included previous
> Doxycycline and Keflex, currently on Bactrim (sulfamethoxazole +
> trimethoprim variety) taking one pill 800mg per day for
> management/prevention of sores, and is to take 2 pills a day when sores
> break out.
>
> She says her OB has told her she can't breastfeed, not because of the
> medicine, but because they're worried about her passing MRSA to baby during
> birth.
>
> My question is is this really an accurate assessment of risk or proper
> method of preventing baby from acquiring it, by telling mom she shouldn't
> nurse?  The way she's putting it, it sounds like the doc thinks baby may
> acquire it during the birth process b/c of proximity of eruptions to the
> birth canal/pubic area, and that somehow breastfeeding might play a part.
>  In my mind, that logic doesn't fly, because even if she were to pass this
> on to her baby during birth, wouldn't she be better off nursing to prevent
> infection or curb outbreak?  My thought is that since outbreaks are nowhere
> near the breast (though, with the potential for nipple damage, a wound
> could conceivable come up there after birth) we would have to be careful
> about management of breastfeeding to prevent or manage early problems ASAP.
>
>
> I searched in the LACTNET archives and the last mention seems to be in
> 2005; is there any updated info seven years later?  Seems like CDC saying
> it's find to BF and breastfeed as long as wounds that might touch the baby
> are covered, but ABM protocol from 2010 deals specifically with MRSA in
> relation to mastitis, and this isn't my client's case.
>
> Would it be appropriate to recommend, maybe for doc's sake, that mom's milk
> and baby be tested to check for MRSA? What happens if:
>
> -milk alone tests positive - safe to nurse or not, with or w/o meds?
> -baby tests positive - safe b/c mom has same thing, will help prevent
> probs?
>
> Sorry so many questions... mom really wants to nurse, and she is pretty
> upset at doc's suggestion. I want to help her advocate for herself, and
> I've given her meds info and told her about CDC recommendations to nurse
> and BF if there's no outbreaks on breast that are uncovered, which she is
> relieved by, but I told her I would dig for better info as well.
>
> Thanks in advance for any help.
>
> -Brandy J. Hansen
> The Mobile LC
> 309-319-6619
> [log in to unmask] <javascript:;>
> Supporting moms via home/hospital visits, phone, Skype, text, email, chat
>
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