Candice, one of the great WIC peer counselors from the Atlanta area, presented the luncheon entertainment for the conference at which Barbara presented a day-long clinical training workshop. What a fun group!
Anne Charest, IBCLC, and Ghislaine Reid, IBCLC, two lactation consultants from Quebec, Canada, generously translated the poster into French. Anne and Ghislaine have agreed to let us share their translation with other French speaking lactation consultants around the world. Both the English and French versions of Kay’s poster may be freely reproduced and shared. Thanks, Anne and Ghislaine for expanding the usefulness of this important tool.
I am an LC, but this question is actually about a problem I am experiencing personally. I have a 20 month-old who nurses well. Over the course of a few hours I recently came down with fever and chills and the bottom area of my left breast became inflamed and sore. Breastfeeding does not feel uncomfortable, and in fact, feels normal. After resting overnight, my fever and chills were gone, but my breast remained tender and pink underneath. I am taking garlic, echinacea and vitamin C. This episode began on Thursday early evening. It is now Saturday afternoon, and I am wondering if I need to take antibiotics. Since fever and chills are gone isn’t this sign that my body is on the mend? Am I still at risk for abscess by not treating with medications? [Read more…]
A woman has contacted me because she has what appears to be a plugged duct or mastitis during her pregnancy. This is her second pregnancy. She is not nursing an older child. She is 34 weeks along and has had a red, hard spot below her nipple for 6 weeks.
She has seen her OB and a breast specialist. The breast specialist is saying that this is a normal change during pregnancy. The breast specialist did try to aspirate fluid from the lump, but there was no fluid. The woman has taken two courses of antibiotics. She is returning to her OB and the breast specialist. I suggested she also contact an LC. I also passed along information on treating plugged ducts and mastitis. At this point it does not appear to be mastitis because she does not have a fever.
What she is really interested in knowing is whether this is at all common. She had supply issues with her first baby and is worried that this situation will negatively impact nursing her second baby.
I have a client who has a 20 day old newborn. Stools have been described as crayon orange for the last 24 hrs. Weight is 400 grams over birth. Blood tests indicate normal bilirubin levels. The exclusively breastfeeding baby is slightly yellow in color. No new medications since birth for mom or babe. Mom is finishing prenatal vitamins and iron supplement (which was initiated at 4.5 months of pregnancy). I have tried to find literature on same and have not found a good resource. Can you assist me in directing me to a good resource for this client to determine if this is of concern or not. Thanks.
Marni Hicks, Public Health Nurse, R.N., B.S.N. [Read more…]