Dear All

 

I have permission to post 

 

I am working with a mother who is now 12 days postpartum, she developed
mastitis bilaterally and was admitted to hospital. She was originally on 1
grm of iv flucloxacillin for 3 Days with no improvement.  Pencillin 2 grms
was also added with some improvement. Her breast is still red and tender,
only a few drops of milk can be hand expressed. Her aerola feels hard and
difficult for the baby to latch. I have tried a shield which did help the
baby to latch. But Mum is reluctant to keep using the shield.   I have
recommended 3 hrly feeds affected breast first, then switch to the other
breast. Hand express not pump because of the aerola odema. Ice after each
breastfeed and expressing. I don’t know what else to suggest. She is
exhausted and wanting to know how long the infection will last?   Can you
give me any pointers that I can try  with this mother when she is discharged
in the community, I would like a mastitis protocol if anyone would share
with me.

 

Sincerely

June Nicholls

IBCLC           


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