I think what I would try would be to stop all topical products. I would
recommend wound cleansing with a mild soap and water, make sure hands are
very clean first and fingernails. Then I would have her apply a very thin
application of an antibacterial ointment like bactroban with a clean cotton
tipped applicator. I would ask her to do this several times per day.
Frequent changes for clean cotton breast pads if she uses them, or making
sure she changes bra daily. I think I would also try to get her hcp to
prescribe a course of antibiotics which would cover staph and possibly
MRSA.  I would continue to help with the latching, make sure no pulling or
twisting during the feed, in other words support baby and breast throughout.
And agree with tips to manage oversupply. If mom can also improve her
general nutrition and perhaps a vit C to help wound healing.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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