Hi Cordelia,
I don't know the answer to this question, but am interested to know.  If the
mother had an outbreak in the past, then she would have antibodies already,
so would that lower the possibility of transmission?  Or is it different
when it's different body parts?

Also, is she sure that it's a cold sore?  Where is it?  If it is in the
corner, could it be angular cheilitis?  I have seen that be mistaken for a
cold sore in the corner of the mouth before.


Sonya Shaver, BS, CHES, IBCLC


On Mon, Sep 12, 2011 at 2:10 AM, Cordelia <[log in to unmask]> wrote:

> I thought I would throw this one out there because I found very little info
> on the interweb about it.
>
> Nursling is nearly 4 years old and nurses about 1 to 3 times a day.  She
> really likes her nums.  She developed what appears to be a cold sore on her
> lip overnight.  Mother not sure how to proceed.  Mother does not get cold
> sores, though about 15 years back she did have what appeared to be an
> initial outbreak, saw GP who prescribed oral acyclovir and the lesion barely
> developed and there have been no further episodes.
>
> So what would you recommend?  Child would not like to wean at this stage,
> mother does not want to get recurrent herpes lesions on her breast.
>
> There is lots of info about young babies and lesions on mother's breasts
> but next to no info about older nursling having the lesion and likelihood of
> mother acquiring herpes on her breast.
>
> Thanks
>
> Cordelia Merritt RN BSN IBCLC
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