I have permission to post from a mom I have been helping 
since the beginning of Dec. when her baby was about a 
week old.  The mom had a painful latch from the 
beginning.  The baby was doing a lot of chomping during 
feeds, possibly secondary to the moms very abundant 
supply.  The mother had a yeast infection during her 
pregnancy and even before I saw her she described her 
symptoms and that the baby had a diaper rash.  She said 
the doctor said it was not a yeast rash and just some 
skin breakdown.  Her nipples were a little pink at the 
tips but no cracking or bleeding.  I encouraged her to 
use APNO along with the other suggestions I gave her for 
working on latch, etc. but she only used it sporadically, 
not enough to see if it really made a difference.  Things 
were improving until this week when the mom breastfeeding 
pain increased again and mom was diagnosed with yeast on 
her nipples and the baby with a yeast diaper rash.  The 
mom has been pumping and storing milk for her return to 
her medical internship in a few weeks and now wants to 
know if she should discard all of it.  I did some 
research and found a lot of conflicting answers.  I also 
found some references to heat treating the milk before 
using but wasn't sure if this was enough and exactly to 
what temperature it needed to be heated to kill yeast.  I 
always hate to see moms waste precious milk but don't 
want to see her thrush recur after this treatment.  I 
already gave her dietary and hygienic advice to getting 
rid of yeast and her midwife and ped. gave her 
perscriptions.  Your input is appreciated.

Karen Kurtz, IBCLC


Karen Kurtz
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