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Subject:
Re: Fissures on nipple
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Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 8 Apr 2014 09:25:43 -0500
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Tell her to get a symphony pump and use on low settings with compression.  Use a wider flange to avoid pressure.  



-----Original Message-----

From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Doula

Sent: Monday, April 07, 2014 6:58 PM

Subject: Fissures on nipple



PTP



A mom with a 10day(approx.) old BB with a Type4 TT (revised by laser practitioner) has been diagnosed over the past

6 days with

	—Staph A

	—Candida

by her OB.



Mom cannot use nyastatin as it causes a severe burning sensation.

Her OB prescribed fluconazole 150mg/day, one/day, every other day ( I have informed her of Newman’s protocol but is uncomfortable with discussing protocol with Dr.)



She has seen a bfeeding Medicine Dr/Pediatrician; Dr. said nipples “look fine —

no yeast infection”.  She was prescribed:  Mupiricin2% ointment 4x/day and saline soaks.  And told no more pumping as it will prevent the wounds(2: one bottom, one side) - - - - - ->  I’m not sure I agree with this.  If the setting is on low, why would it prevent healing ?



Just off the phone with the mom she says the “stinging has stopped” but the nipples “do look pinker" than the rest of nipple/areola complex.  Baby does not appear to have any yeast overgrowth.



THE PROBLEM:  BFeeding med.Dr. said no more pumping (it will keep the fissures from healing); hand expression only.  Mom is unable to bfeed from that side due to pain.  Mom is unable to hand express successfully and is greatly adding to her frustration.  She’s has tried massaging, warm showers and compresses.



Mom keeps at hand expression without success; frustration is growing, as is her engorgement.



Your thoughts and suggestions please on all of the above facts.



Thank you !!



—Kathy





Katherine Koncelik, CPD, CLC

     -------------------------------

Treasurer

Co-Founder

Long Island Doula Assoc., Inc.

A 501.c.3 Not-For-Profit Charitable Corporation

		631.581.1066

















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