Has she had a culture done? Holly McSpadden, IBCLC Sent from my Verizon Wireless BlackBerry -----Original Message----- From: "Foley, Mary" <[log in to unmask]> Date: Tue, 11 May 2010 11:48:55 To: <[log in to unmask]> Subject: Re: LACTNET Digest - 10 May 2010 - Special issue (#2010-381) Hi Everyone, Looking for some help w/ a mom who is experiencing repeated plugged ducts and mastitis. Permission to post. Baby began sleeping through the night at 4 weeks, and mom experienced her first plugged duct. She had a fever and chills, but was not treated w/ antibiotics. Mom treated w/ heat and massage and plug resolved. She then had a mastitis at 7 weeks, fever, chills, and was treated w/ antibiotics, and mastitis resolved. Since then she has had 10 more bouts of plugged ducts, 6x she had chills, red streaks and flu-like symptoms, but was not treated. 2 times total she was treated w/ antibiotics. She has only been treated w/ antibiotics if her fever was over 101. She has been taking lecithin for 4 months w/o improvement. She has no medical conditions that she is aware of. She takes vitamins w/ iron, folic acid and calcium. Her baby continues to sleep through the night. Baby is healthy and happy and weighs over 15 pounds at 6 mos. On examination nipples are intact, breasts soft, no plugged ducts at this time. Mom wants to continue nursing for at least 6 more months, but she is becoming fatigued w/ these repeated episodes. Any thoughts on a treatment plan? Mary Foley RN, BSN, IBCLC Melrose-Wakefield Hospital. MA *********************************************** 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 *********************************************** 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