I received a request for help today via email  from a woman who lives in
a rural setting.  I plan to see her next time she needs to visit the
base hospital for a obstetric clinic appointment.

This woman is having her 5th child and has breastfed them all for 9 -
10 months. She states -  "I have experienced mastitis about six times
with each child.  Each bout seems to be in close succession - with the
last child I got it in the first few weeks and would just get over one
bout when I got another.  I have always fed from one side at each
feed."

Obviously a full assessment needs to be made  and I need to find out
who diagnosed the mastitis and if indeed it was mastitis.  She only has
3 weeks to go until she births - any ideas anyone?  I'm thinking the one
sided feeding may be a significant factor here and I will need to find
out more about that.

karen Palmer
LC and Midwife
New Zealand

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