Does anyone have any ideas to help this mother.  I'm literally at wits end and she's the most devoted to breastfeeding mother I've worked with in a long time.  I have her permission to post.  Many thanks, Kathy
 
 
Vaginal delivery after 27 hour labor with epidural given in late labor.  Meconium was present and baby was suctioned immediately after delivery.  Did not latch until day two and did not latch every time he was put to breast.  He was becoming jaundiced but later received expressed colostrum by finger feeding (manual expression was very painful; pump was uncomfortable but not painful) and protein levels were just within normal range. 
During the evening of day three breasts became engorged but milk could not be removed with pump (Medela Pump in Style).  Baby could not latch due to engorgement and became dehydrated.  Pediatrician instructed formula supplementation.  Contacted LC on day four and used Medela Symphony, but only a small amount of milk could be removed from one breast after much massage and reverse pressure softening.  Breasts were very sore and painful to the touch.  Continued massage, heat and softening until following day, and milk began flowing from both breasts.  Baby could latch about 50 percent of the time and nursing was painful.  Temporarily used nipple shield to help with latch.  LC later determined latch was good without shield.
Pain persisted and midwife suggested treating for thrush with Diflucan for 14 days.  The following day developed mastitis and treated with antibiotic simultaneously.  Also took probiotics.  After full course of Diflucan pain was still present.  Followed full Newman protocol for yeast including 5 days gentian violet, oral and topical grapefruit seed extract, APNPO, and probiotics.  Also used topical steroid cream Aclivate 2-3 times per day for one week.  Baby treated with Nystatin. 
Breast specialist examined breasts and did not find any abnormalities other than fissures.  Did not suspect thrush based on the amount of treatment that was attempted. Prescribed nifedipine for treatment of possible Raynaud’s.  After a few days burning pain decreased (though breasts were still tender and nipples sore) so resumed nursing once per day for two days then twice the next day.  On the following day the pain increased so began exclusively pumping again about 8 times per day.   Discontinued nifedipine after two weeks.  Eight weeks after delivery pain is still present during pumping and nipples are red and sore.  Breasts are sore to touch and there is burning and stabbing pain throughout the day.




www.bethesdabreastfeeding.com




             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome