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Date: | Sat, 25 Jun 2005 19:33:29 -0500 |
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Diane, I think we should continue to give moms the basic recommendations
found in our textbooks for "plugged ducts" or "mastitis." We don't have
crystal balls to know if something is on the worse side, like all the MRSA
mastitis we are seeing here in Houston, TX. We can be more aggressive in
suggesting that if things don't improve in 24-48 hours that mom go to her
doctor. We can also suggest that moms go back to the doctor and ask for
cultures when the antibiotic isn't helping (and it clearly is mastitis). But
other than that, I don't see that anyone could have predicted this mom's
situation.
You are right about the limits of phone helping or email helping. But even
if you had seen her in person, you might not have known this was going to be
a "bad one." You could use her example when you talk to moms in the future
about being aggressive in getting medical treatment!
I have had 3 bad c-section infections among my WIC clients in the last 3
weeks. These are only the tip of the iceberg because I only get certain
referrals (as IBCLC). All of them were in the hospital for at least 10 days
and came home very very sick. (All at different hospitals.) We are also
having moms with diagnosed mastitis not be cured by the initial antibiotic.
It has all made me a bit paranoid.
Kathy Eng, BSW, IBCLC
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