Did mom ever tried on bleach baths? Woks wonders in kids and adults on controlling the MRSA spread. Definitely agree with breastfeeding as a protective factor. One does not have to be obese to have MRSA in large folds (but extra weight/folds never helps either) Alla Alla Gordina, MD, IBCLC, FAAP On 4/30/2013 11:46 AM, Brandy Hansen wrote: > PTP > > Saw a 31wk preg mom in class yesterday. States she has been battling MRSA > for 5 years now. The only place she has wounds are in the groin and armpit > areas where she sweats and has had folliculitis in the past. She said they > have tried rounds of other antibiotics over the years to no avail at > eliminating--wan't able to recall all, but has included previous > Doxycycline and Keflex, currently on Bactrim (sulfamethoxazole + > trimethoprim variety) taking one pill 800mg per day for > management/prevention of sores, and is to take 2 pills a day when sores > break out. > > She says her OB has told her she can't breastfeed, not because of the > medicine, but because they're worried about her passing MRSA to baby during > birth. > > My question is is this really an accurate assessment of risk or proper > method of preventing baby from acquiring it, by telling mom she shouldn't > nurse? The way she's putting it, it sounds like the doc thinks baby may > acquire it during the birth process b/c of proximity of eruptions to the > birth canal/pubic area, and that somehow breastfeeding might play a part. > In my mind, that logic doesn't fly, because even if she were to pass this > on to her baby during birth, wouldn't she be better off nursing to prevent > infection or curb outbreak? My thought is that since outbreaks are nowhere > near the breast (though, with the potential for nipple damage, a wound > could conceivable come up there after birth) we would have to be careful > about management of breastfeeding to prevent or manage early problems ASAP. > > > I searched in the LACTNET archives and the last mention seems to be in > 2005; is there any updated info seven years later? Seems like CDC saying > it's find to BF and breastfeed as long as wounds that might touch the baby > are covered, but ABM protocol from 2010 deals specifically with MRSA in > relation to mastitis, and this isn't my client's case. > > Would it be appropriate to recommend, maybe for doc's sake, that mom's milk > and baby be tested to check for MRSA? What happens if: > > -milk alone tests positive - safe to nurse or not, with or w/o meds? > -baby tests positive - safe b/c mom has same thing, will help prevent probs? > > Sorry so many questions... mom really wants to nurse, and she is pretty > upset at doc's suggestion. I want to help her advocate for herself, and > I've given her meds info and told her about CDC recommendations to nurse > and BF if there's no outbreaks on breast that are uncovered, which she is > relieved by, but I told her I would dig for better info as well. > > Thanks in advance for any help. > > -Brandy J. Hansen > The Mobile LC > 309-319-6619 > [log in to unmask] > Supporting moms via home/hospital visits, phone, Skype, text, email, chat > > *********************************************** > > Archives: http://community.lsoft.com/archives/LACTNET.html > To reach list owners: [log in to unmask] > Mail all list management commands to: [log in to unmask] > COMMANDS: > 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail > 2. To start it again: set lactnet mail > 3. To unsubscribe: unsubscribe lactnet > 4. To get a comprehensive list of rules and directions: get lactnet welcome *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome