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Thread: Medical issues told to stop nursing

  1. #1

    Default Medical issues told to stop nursing

    I have had mastitis 3 times a clogged milk duct and a large (8cm) breast abscess. I had the abscess drained by a surgeon. I had a small incision and packing in the open wound. The surgeon told me to stop breast feeding completely. I didn't listen and just pumped and dumped. Had a follow up apt with surgeon on week post op. told him I was pumping and dumping and wasn't ready to stop nursing. Asked if I could start now and he said he wanted to see me in a week and we would talk then. My LC said she can't tell me to go against the md but gave me all the articles that said you should continue to nurse immediately after. What do you guys think about this?

  2. #2

    Default Re: Medical issues told to stop nursing

    I should also add that I am on augmentin. The surgeon told me that I shouldn't nurse also because the baby would get sick. I just don't understand how my son could get sick off of my milk? Help me! Don't know what to do

  3. #3
    Join Date
    Nov 2012
    Location
    Ontario
    Posts
    621

    Default Re: Medical issues told to stop nursing

    Hi, and welcome

    How old is your baby? Is the surgeon you dealt with used to dealing with breastfeeding mothers? From everything I've read, there's no need to stop breastfeeding after a needle biopsy/breast drainage. There's just a risk for leaked milk, from what I understand. Is the area healing well? Besides, I would think that if you're prone to mastitis and clogged ducts, weaning would be especially tricky and slow anyway to avoid repeat bouts. I don't even think you need to pump and dump. According to the Dr. Sears website, augmentin is safe for breastfeeding, but you could always give the nice folks at Motherisk/Infantrisk a call for more info. Here's a LLL article that might be good to read too http://www.lalecheleague.org/llleade...jan03p136.html

    My last suggestion is to call a local LLL leader, who might have experience dealing with this. Good luck!

  4. #4
    Join Date
    Oct 2012
    Posts
    2,209

    Default Re: Medical issues told to stop nursing

    Hi mama, according to kelly mom (http://kellymom.com/bf/can-i-breastf...approved-meds/), amoxicillin (the antibiotic in augmentin) has an L1 rating from Dr. Hale, the doctor who runs Infantrisk. L1 is the safest rating category.

    Here's another link about breast abscess: http://www.llli.org/ba/may01.html

    According to this article:
    "Breast abscesses may be simple or complex. They require surgical drainage. Breastfeeding may continue as long as the incision is away from the nipple and does not interfere with latch-on.2, 4"

    I agree with carm3 that you want to keep nursing when you have mastitis. Mastitis is often triggered by a plugged duct that occurs when the breast is not adequately drained. So not nursing sets you up for more problems. The bacteria that gave you mastitis came from your baby's mouth to begin with, so it's not correct that they would make baby sick. Here's another quote from that article:

    "Breastfeeding should continue, as the baby is the most efficient remover of milk; there is no significant risk to the baby from the infection or from the common antibacterial therapies.2, 3, 4"

    With all due respect to your surgeon, many doctors really do not know much about breastfeeding. Keep pushing.

  5. #5
    Join Date
    Feb 2007
    Posts
    1,710

    Default Re: Medical issues told to stop nursing

    Are you able to get a second opinion? Perhaps the LC would have a recommendation for someone for that even if she can't directly contradict the doc?

    Here's contact for the helpline mentioned above you could try.
    http://www.motherisk.org/women/index.jsp

  6. #6
    Join Date
    Jun 2009
    Posts
    5,419

    Default Re: Medical issues told to stop nursing

    Did your LC give you this?

    http://www.bfmed.org/Media/Files/Pro..._4mastitis.pdf

    It is written by and for doctors and includes regular mastitis, and breast abscess and MRSA recommendations.

    Do you need the doctor’s permission to nurse your baby? I am foggy on this point.

  7. #7
    Join Date
    Aug 2012
    Posts
    292

    Default Re: Medical issues told to stop nursing

    My baby was prescribed augmentin for an ear infection, for what it's worth. I am certain it is safe to take while breastfeeding.

  8. #8
    Join Date
    May 2006
    Posts
    20,955

    Default Re: Medical issues told to stop nursing

    Bump
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  9. #9
    Join Date
    Feb 2011
    Posts
    36

    Default Re: Medical issues told to stop nursing

    18 years ago I had a breast lump (adnoma) removed when my baby was 5 weeks old and I was breast feeding. (Not mastitis, but breast surgery nonetheless). Breastfed before and after surgery with the surgeon's approval. I'm not giving advice, I'm just sayin'...

    Hope everything all works out in your favor!

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