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Subject:
From:
Gwen Moody <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 27 Jan 2009 09:36:51 +1100
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The only way to tell the difference is by swabbing or trialing a topical
antibiotic. If it is bacterial, the women see an improvement in hours.
The first time I tried this with a woman, she rang me in tears the next
day in gratitude.

Gwen

Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]

>>> [log in to unmask] 26/01/2009 9:46:17 am >>>
7 month old baby and mom has had persistent yeast off and on again
since birth. Moms pain is now getting to the point where she wants to
quit. She has a history of plug ducts, blebs, overabundant supply
issues, etc. and treatment with diflucan and GV. She called the other
day complaining that there is pain with the MER and alot of nipple and
breast pain in between feedings. Mom also mentions that it hurts to pump
and even with a rented hospital grade pump it is causing discomfort but
somewhat a little less then latching the baby. The pain is primarily at
the nipple and areola area on the surface and behind. How do I know the
difference between this being persistent yeast or a possible bacterial
infection? Or both? My consult with her is tomorrow and she has seen a
LC already and been to LLL meetings and I am her last hope. Any
suggestions?  

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