Dear Janet,

This is a very rare condition. From what I found, MDs tend to treat it very conservatively, which includes recommending that mom stop breastfeeding.

There is another option. Has she considered just nursing from the unaffected side? She could pump the affected side for comfort until it involutes while the other side will increase production to meet the needs of the baby. One breast can adequately feed a baby, as with twins or with a mom who has had radical surgery or trauma at one breast. If there is no demand for milk at one breast, that breast will slow/stop production.

Hope this is helpful,

Cindy Garrison BS, IBCLC



> 
> 
> Date: Mon, 5 Apr 2021 05:12:53 -0400
> From: Janet Prince <[log in to unmask]>
> Subject: Potential Milk fistula
> 
> I have a lady that had a breast abscess drained but it keeps filling with milk and is just not healing The Dr is telling her to stop breastfeeding if it hasn’t healed by middle of this week. She’d be heartbroken to do this.
> Has anyone got any ideas please.....?
> 
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> 
> Date: Mon, 5 Apr 2021 20:43:06 +0200
> From: Jean Ridler <[log in to unmask]>
> Subject: One percent
> 
> In general less than 1% of a medication passes into breastmilk. I read this many years ago and have seen it in print many times, but I cannot find the reference. Is this statement no longer true in light of new info? Can anyone refer me to a reference? Much appreciated.
> 
> Jean Ridler RN RM IBCLC
> Cape Town, South Africa
> 
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