Dear Friends:
     Laurie asks for comments about these recommendations from Lawrence and
Lawrence. I made my comments in capitals so that the message would show up
better in the digest.

> Breast abscess - discontinue ebm x 24 hrs after surgery; no bf x 24 hrs
>
    I HAVE BEEN TAUGHT THAT BF DEPENDS ON THE LOCATION OF THE INCISION, IF
THE ABSCESS IS DRAINED.

> Endometritis/PID for group B strep - bf ok after 24 hrs of therapy; ebm ok.
>
> Haemophilus influenzae - bf after 24 hrs on therapy; may give ebm
I DON'T UNDERSTAND THIS ONE.

>
> Mastitis - staph A - bf after 24 hrs of therapy; discard milk x 24 hrs
> Mastitis - group A strep - same as above
> I DON'T KNOW ENOUGH ABOUT THIS, EXCEPT TO WONDER IF THE MOTHER HAS STREP (A
> OR B), THE BABY HAS BEEN EXPOSED BY EITHER GESTATING  OR BY DELIVERY. AS
> THE MILK WOULD HAVE ANTIBODIES, DOES IT MAKE SENSE TO COMPROMISE THE BABY'S
> IMMUNE SYSTEM BY GIVING FORMULA?

warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CIMI, CCE, craniosacral therapy
Adjunct faculty, Union Institute and University, Maternal and Child Health:
Lactation Consulting
Supporting the WHO Code and the Mother Friendly Childbirth Initiative

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