Dear Jo,
It sounds as if it is an inflammatory mastitis rather than infective at this
stage, in which case I would suggest holding off the antibiotics.  If you
can keep the area of the breast well-drained, hopefully it will resolve
without any infection.  Antibiotics bring their own set of problems, often
thrush in the breast, so if you do end up taking them, I would suggest
taking acidophillus and bifidus as well.  A wait and see attitude seems
appropriate to me.
All the best,
Joy

Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741
email:[EMAIL PROTECTED]
----- Original Message -----
From: "Jo Slamen" <[EMAIL PROTECTED]>
To: "Midwifery List" <[EMAIL PROTECTED]>
Sent: Thursday, 3 October 2002 18:21
Subject: [ozmidwifery] Mastitis & Antibiotics


> Hi All,
>
> Today I have had a hard breastfeeding day with breast lumpiness gone mad.
> Baby, massage, pumping and heat would not shift a 10cm+ disc of hard
terrain
> on my left breast.  So saw a GP this arvo and she sent me for ultrasound
at
> the physio which softened a little.  I came home and fed the now famous
Alec
> (!!) and it has come away remarkably well.  Hideously painful at the
> beginning of the feed and all nice and soft and comfy now!  Love that
> ultrasound treatment... and of course, the delightful bub!
>
> Despite the large area of blockage, the redness had only just begun to
> manifest over a small area when physio treated it, at 5pm this evening (I
> first noticed lumpiness overnight).
>
> My question is I have a script for a/biotics, I would rather not take them
> if not necessary and I thought I would trouble the list for your opinions
> (unless medically inadvisable) as to whether they're necessary.  I didn't
> have a fever and apart from a very sore boob (which is no longer sore now
> the little bloke has drained it) I haven't been feeling dreadful - just a
> little weary.  Just wondered whether I ought to take the drugs still?
>
> Jo
>
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