Mandy, the whole thing IS confusing! Recent agreement is that much of what we thought was yeast was really staph. HOWEVER, just plain yeast is still out there. I recently saw a mom who complained of toe-curling nipple pain. Luckily for me, baby had little white spots in her mouth. Mom was given Dr. Leeper's MilkWorks Yeast handout, and she started to feed better ONE day later! (I did get Dr. Leeper's permission to share her handouts with my clients; WIC is nonprofit, too.)
Hang in there! Rowena
Rowena Tucker IBCLC
Texas

You wrote:
Date:    Wed, 23 Jan 2013 23:35:11 -0500
From:    Mandy Ball <[log in to unmask]>
Subject: Treating yeast

Last week I  referred a patient to her OB to be treated for yeast/candida of the breast. She had some of the vague symptoms (but still pointing towards yeast like pain). it has persisted and I felt it was worth treating. She happened to see the pediatrician first and he was on board to treat mom and baby (nystatin, diflucan). Mom followed up for routine visit with OB  a week later and she told the mother that she has read no literature that talks about the treatment of yeast on the breast and that she does not treat it and doesn't feel like it should be treated. 

I am at a loss. This mother feels she is getting really conflicting advice and now feels a bit confused and like she shouldn't have treated. 

Now I am confused. Did I miss something? Aren't we still treating  yeast/thrush? 

Mandy Ball RN IBCLC 
Denver

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