Breastfeeding Materials

Educational breastfeeding books, photos and professional advice for lactation practitioners.

Case Studies

Fluid Leaking from the Site of a Procedure to Investigate a Galactocele

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Question: I have a patient who underwent a needle biopsy of a galactocele.  A week later, she continues to leak fluid from the entry site on the upper lateral aspect of her breast. I don’t know much about galactoceles.  How does she get the entry site to heal so that it will stop leaking?
Heather Henry, RN, IBCLC [Read more…]

Information about topical Bactroban (mupiricin) use for nipple trauma

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Question:
I am a Public Health Nurse working to support breastfeeding families. A physician has asked for information about topical Bactroban (mupiricin)  use for nipple trauma. I shared information about this drug from Thomas Hale’s, Medication and Mother’s Milk. Are there any additional  research/articles regarding Bactroban that I can reference?

Also, I am familiar with the All Purpose Nipple Ointment (APNO), however, in a situation where the all purpose nipple ointment does not seem to be effective, might there be an advantage to trying Bactroban on its own?

Susie Wood BN RN
Public Health Nurse, IBCLC [Read more…]

I am consulting with a 24 year old primip patient in her 3rd trimester who has Sjogren’s Syndrome.

Message: Dear Barbara and Kay, I am consulting with a 24 year old primip patient in her 3rd trimester who has Sjogren’s Syndrome. She is wondering if it will affect breastfeeding. She was diagnosed 3 years ago and is being followed by a rheumatologist and a perinatologist. She describes her condition as "mild", with her symptoms just affecting her eyes and saliva. Her only medication for this syndrome prior to becoming pregnant, was Restasis, which she is not using while pregnant. I am not … [Read More...]

Counseling a Working Mother: Workplace Pumping and Embarrassment

Message: Dear Barbara and Kay, I have a client who has returned to work. Her baby was born 5/6/11. She is a PhD at a university. She asked about pumping frequency at work and the effects on supply if she skips a pumping. We discussed the implications of  regular milk removal. Breastfeeding is very important […]

Swallowing dysphagia as a cause of rejection of solid foods

Interesting updates on our recent Ask B & K case regarding the toddler who refused solids.  Ameera, the Egyptian IBCLC who wrote us about this case communicated the surprising news that the mother weaned the baby and the baby immediately began accepting solids.  This is a very counter-intuitive result, but in the interest of intellectual […]