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Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 7 Apr 2014 19:57:43 -0400
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PTP

A mom with a 10day(approx.) old BB with a Type4 TT (revised
by laser practitioner) has been diagnosed over the past
6 days with
	—Staph A
	—Candida
by her OB.

Mom cannot use nyastatin as it causes a severe burning sensation.
Her OB prescribed fluconazole 150mg/day, one/day, every other day ( I have informed
her of Newman’s protocol but is uncomfortable with discussing
protocol with Dr.)

She has seen a bfeeding Medicine Dr/Pediatrician; Dr. said nipples “look fine —
no yeast infection”.  She was prescribed:  Mupiricin2% ointment 4x/day and
saline soaks.  And told no more pumping as it will prevent the wounds(2: one
bottom, one side) - - - - - ->  I’m not sure I agree with this.  If the setting
is on low, why would it prevent healing ?

Just off the phone with the mom she says the “stinging has stopped” but the
nipples “do look pinker" than the rest of nipple/areola complex.  Baby does
not appear to have any yeast overgrowth.

THE PROBLEM:  BFeeding med.Dr. said no more pumping (it will keep
the fissures from healing); hand expression only.  Mom is unable to 
bfeed from that side due to pain.  Mom is unable to hand express
successfully and is greatly adding to her frustration.  She’s has
tried massaging, warm showers and compresses.

Mom keeps at hand expression without success; frustration is growing, as is her
engorgement.

Your thoughts and suggestions please on all of the above facts.

Thank you !!

—Kathy


Katherine Koncelik, CPD, CLC
     -------------------------------
Treasurer
Co-Founder
Long Island Doula Assoc., Inc.
A 501.c.3 Not-For-Profit Charitable Corporation
		631.581.1066








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