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| Date: | Wed, 13 Feb 2019 21:36:08 -0700 |
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So staph aureus is a coagulase positive organism which basically means it
can make plasma form clots (which are often gelatinous in appearance). So
would tend to agree that there may be staph involved here.
Sharon, BMST(ASCP), Breastfeeding USA counselor
Colorado, USA
On Tue, Feb 12, 2019 at 12:28 PM Holly McSpadden <[log in to unmask]>
wrote:
> I have had this happened with 2 different moms. We had milk cultured. Both
> grew out staph
>
> Holly McSpadden, IBCLC
>
> Get Outlook for iOS<https://aka.ms/o0ukef>
>
> ________________________________
> From: Lactation Information and Discussion <[log in to unmask]>
> on behalf of Holly Prescott <
> [log in to unmask]>
> Sent: Tuesday, February 12, 2019 1:18 PM
> To: [log in to unmask]
> Subject: Gelatinous Milk!
>
> Hoping those with vast years of experience might be able to identify an
> unusual phenomenon for me. PTP! In fact, client is begging for answers.
>
> Working with first time mom who started out breastfeeding her baby well
> until baby readmitted for jaundice just as her milk was coming in and was
> told to stop breast and pump only so they could "see" volume. Ended up
> requiring formula supplementation. Of course, difficulties latching since
> then. Baby gaining weight but having to supplement with formula at night.
> Mom reports difficult to get on breast, does 10 mins well then very angry
> and won't get back on either side. Has to f/u with bottle. Mom reports he's
> a "messy" bottle feeder but . Saw at 2 weeks for first time. Did 20/10 with
> signs of deep latch after minor adjustments and without fussiness. No signs
> of oral restriction. Poor suck/swallow ratio on second side. Breast
> compressions helped minimally. Interestingly, transferred 1/2 oz each side.
> Mom can hand express easily. Pumps about 4 oz total but here's the kicker:
> for previous 2 days has had to strain out large gelatinous clump (usually
> lightly pink tinged) which cuts her usable volume by 1/3 to 1/2!. I've seen
> clumpy or stringy milk before but not this consistency! Looks like large
> clots or several raw eggs when poured from one bottle to another. Comes
> from both sides. Can message/text video if anyone wants to see. Actually
> clogs her pump where she has to stop and get them out! No signs of clogged
> ducts or mastitis. Has been to OB to make sure there is no infection. Of
> course, doc told her to stop putting to breast in case baby chokes on
> globs. I saw no indication of this during our visit. Can't imagine the baby
> being able to get this out. Not sure how they even fit thru the nipple
> pores!!! If mom hadn't reported having to stop and clear the tunnel to be
> able to continue, I would have thought it was clumping once it got in the
> bottle. This is still continuing 5 days later. Mom believes it got worse
> when she did more breastfeeding because baby "wasn't getting them out". Mom
> has backed off on the vacuum of pump to rule out damage from suction.
>
> 1. Wonder if the baby suckles well until one of these "clots" gets to the
> exit at which point baby gets frustrated or tired of trying to get milk out
> 2. If there is ductal bleeding, could a blood clot be incorporating milk
> within the clot?
>
> Thanks for taking a moment to think about this!
>
> Holly Prescott RN BSN IBCLC
> [log in to unmask]
> 843-676-5568
>
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