Susan writes:
>I wonder if you are seeing overdiagnosis of yeast as much as I am?
I'm going to try to contain myself here. "Candidiasis" is a medical
diagnosis, and it appears to me that people doing the 'diagnosis' here
aren't MDs. Call me old-fashioned, but since I don't have a license to
practice medicine, I don't offer medical diagnoses. Period.
Having talked with people all over the country who are involved in
breastfeeding, it seems to me that Candidiasis is both over-diagnosed and
under-diagnosed, by MDs and non-MDs. This is why a *full* assessment is
critical for any breastfeeding baby. No--make that *any* baby!
I'm trying not to go off the deep end with my opinions here.....I get so
fired up about this....
I recently published a 48-page piece on sore nipples; e-mail me privately
if you're interested, but it does address the problem of anatomical
problems, such as you're describing, as a major contributor to sore
nipples. (It also carries CERPs, con eds, etc.)
Susan writes:
>I just want to sympathize that there seem to be alot of us these days
>trying to
>fix breastfeeding problems with drugs when we haven't addressed all the other
>possibilities.
>
>Today I saw a six week old. Mom has had persistantly sore nipples and now
>has a
>dwindling supply. Baby has borderline weight gain, wets and dirties. Mom has
>been told by two LCs this must be yeast.
>
>It is not yeast. Baby has a high/ notched palate and is pressing mom's
>nipple up
>into it. When babe comes off, the nipple is creased. Nystatin and miconozole
>won't help!
>
>I think it is just such a temptation to tell someone they need a drug
>because it
>sounds like we are doing something and it doesn't take much effort on our part
>or mom's. However, if we had fooled around with ten to fourteen days of yeast
>treatment here....we'd likely have lost this mom's milk altogether.
>
>Susan Keith-Hergert RN, MS, CPN, IBCLC
>Mercy Health Partners
>Cincinnati
>
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--
Marie Biancuzzo, Perinatal Clinical Nurse Specialist
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Resources to simplify breastfeeding management are available at
http://www.wmc-worldwide.com
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