Ann Perry said:
"4 days postpartum is a bit early to see yeast"
I had a client who had yeast symptoms on and off during pregnancy, including
itchy nipples. Pregnancy changes makes women more susceptable to getting
yeast infections. She had a hx of yeast problems with her previous child.
She had obvious yeast on her nipples: the white in all the little wrinkles
and crevices, generally hot pink and quite sore.
"also it sounds from your case that this Mom does not experience this pain
when she pumps".
Moms that I have worked found it more comfortable to pump than to put the
baby to the breast when they are having extreme yeast related pain.
"I think you will really need to observe this baby breastfeeding. An
assessment of the baby's oral anatomy and suck assessment. The low
production may be due to her discomfort and difficulties to let down."
I agree!
We are seeing so much yeast now, that although it is going undiagnosed by
some, it can be overdiagnosed as well, and sometimes it can be one of
several causes of sore nipples-it certainly can be tricky.
I just saw a Mom who was treated by her midwife for 2 wks for "yeast"- she
hadn't been seen, didn't have a set-up for yeast, but her baby had been
treated for 2 weeks with Diflucan because the ped thought his tongue looked
a little white- never had any other sx.
When I talked to this Mom, it just didn't sound like yeast to me, she didn't
describe the typical "cut glass pain", but had lots of itching. I told her
to stop putting the baby's Nystatin on her itchy, dry nipples,(she had also
been on Diflucan and was following Pat Gima's regime), put some olive oil on
and come in the next day when she was able. The one nipple/areola had the
pink yeast look, but the other side looked scaley and, though the olive oil
had helped, dry with had a weepy spot-looked like eczema to me-so called her
midwife and got a referral to a dermatologist. She had never had any eczema
before, but her father has eczema. It could be an allergic reaction to the
Nystatin she applied as well. She said her whole breast itched, and would
get tiny dots that bleed-there weren't any there when I saw her. I am
learning something new everyday: a lot of it from Lactnetters!-thanks!
Diana
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