>Dear All
>
>
>
>I have permission to post
>
>
>
>I am working with a mother who is now 12 days postpartum, she developed
>mastitis bilaterally and was admitted to hospital. She was originally on 1
>grm of iv flucloxacillin for 3 Days with no improvement.  Pencillin 2 grms
>was also added with some improvement. Her breast is still red and tender,
>only a few drops of milk can be hand expressed. Her aerola feels hard and
>difficult for the baby to latch. I have tried a shield which did help the
>baby to latch. But Mum is reluctant to keep using the shield.


Probably better not to use the shield - we know shields can interfere 
with removal of milk from the breast.

>   I have
>recommended 3 hrly feeds affected breast first, then switch to the other
>breast.

I would be very concerned that limiting the feeds in this way will 
exacerbate the mastitis. Most 12 day olds will feed rather more 
frequently and less predictably than this, and restricted feeds may 
not meet the baby's needs or the mother's needs to establish and 
maintain a good milk supply.   Better to keep the baby close and 
respond quickly to feeding cues round the clock.

There's a useful, reference-based factsheet on mastitis at the 
Breastfeeding Network website - 
http://www.breastfeedingnetwork.org.uk  - click on information.

Heather Welford Neil
NCT bfc, tutor, UK

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