In response to Paula McRae in Louisiana, there are no "hard and fast" rules regarding allowable colony counts for mother's own milk. We only do periodic screening to check mother's milk collection technique. We do not use culture results to make a decision on whether to feed the milk or not. With regards to the nipple condition of this mother, have you considered eczema? We had a mother several years ago with similar symptoms - thought it was yeast. Routine treatment did not help. Asked mom if she had a history of eczema, and lo and behold! That was it . Sent her to a dermatologist who confirmed the diagnosis. Treated with topical steroids and had immediate relief of nipple pain, constant leaking - milk volume also increased dramatically with treatment. Hope this helps! Nancy Hurst, RN, MSN, IBCLC Director Lactation Program and Milk Bank Texas Children's Hospital, Houston, TX