Re: Pumping mom needs help - cross post...

[Guest guest]

I am trying to locate the article you are referring to Dee re the lengh of

treatment with fluconazole. Any chance you could send me the link? Thank you

Melitta Hoder IBCLC

 

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> Hi All, 

> Permission to post.  I have posted about this mom before.  She is an

exclusive pumping mom who first crashed her supply, then 2 wks later not only

brought it back (with a crappy pump!) but brought it back with such a vengeance

that she was producing upwards of 80 oz per day with only 5-6 pumpings.  Then

she started having issues with let-down and used Rescue Remedy and RPS.

>  

> She is now 9.5 mo post-partum and is struggling with pumping.  It takes her

an hour to pump †" if she does not pump for that hour she ends up with nasty

plugs.  She pumps 4 times per 24 hours (every 6 hours) and produces 30-40oz

(she had a nasty mastitis that dropped her supply the hard way 2 months ago). 

Plugs occur regardless of if she pumps more frequently or not.  They are always

there.  In the first half hour of pumping she gets maybe 2oz because of lack of

letdown.  So she continues to pump because she knows the breasts are not even

close to empty.  In that next half-hour she will finally have a letdown (around

30-40 min into pumping) and be able to empty the breast.  Her breasts require a

lot of massage and compression to help drain.

>  

> To elicit the letdown:  She used Rescue Remedy for a few weeks and th! en it

stopped helping.  She did RPS for a few weeks and then that stopped helping. 

She tried a hospital grade pump.  That didn’t help.  She has tried different

sized flanges, the Pumpin Pals are most comfortable for her †" she has tried

turning them in different directions to see if that would help.  Nothing.  She

feels like her body is ‘over’ the pumping and she is at a loss as to what to

do now. 

>  

> Mom would like to continue to provide EBM for her son †" but having to sit

there for an hour each time is causing her to become anxious and stressed and

resentful.  She said if she could get that let down to kick in and be done

pumping in 20-30 minutes she’d be fine †" but she has been at this routine

for a couple months now and it isn’t getting any better †" it is getting

worse.

>  

> For the plugs, she is taking lecithin †" she was down to one dose per day and

I encouraged her to go back up to 4 times per day for the interim and see if

that helped with the plugs.  But we need to figure something out for her let

down and to make pumping more manageable for her. 

>  

> We need any thoughts, ideas, input…homeopathic, naturopathic, western

medicine †" Whatever!   She does acknowledge that there is an emotional

component here, but just focusing on the good she is doing for her baby isn’t

enough.  She wants to be done, but then has guilt for wanting to be done with

the insanity.  L  I feel for her in a big way.

>  

> Please e-mail me privately and to the list.  Thank you in advance!

>  

> Warmly,

> Jaye

>  

> ibclc@...

>  

>  

>

> Jaye Simpson, CLC, IBCLC, CIIM, MoM

> Breastfeeding Network

> www.breastfeedingnetwork.net

>  

>

[Guest guest]

Hello, Melita.

BREASTFEEDING REVIEW is published by the Australian Breastfeeding Assocation. They don't seem to have links to the publication online. You can learn more about it here:

<http://www.mothersdirect.com.au/catalogue/cid/58/category/breastfeeding-review-jnl/parent/0/pid/4/t/catalogue/title/breastfeeding-review-jnl> Dee Kassing

I am trying to locate the article you are referring to Dee re the lengh of treatment with fluconazole. Any chance you could send me the link? Thank youMelitta Hoder IBCLC > > > > > > > > > Hi All, > Permission to post. I have posted about this mom before. She is an exclusive pumping mom who first crashed her supply, then 2 wks later not only brought it back (with a crappy pump!) but brought it back with such a vengeance that she was producing upwards of 80 oz per day with only 5-6 pumpings. Then she started having issues with let-down and used Rescue Remedy and RPS. >  > She is now 9.5 mo post-partum and is struggling with pumping. It takes her an hour to pump â€" if she does not pump for that hour she ends up with nasty plugs. She pumps 4 times per 24 hours (every 6 hours) and produces 30-40oz (she had a nasty mastitis that dropped her supply the hard way 2 months ago). Plugs occur regardless of if she pumps more frequently or not.Â

They are always there. In the first half hour of pumping she gets maybe 2oz because of lack of letdown.  So she continues to pump because she knows the breasts are not even close to empty. In that next half-hour she will finally have a letdown (around 30-40 min into pumping) and be able to empty the breast. Her breasts require a lot of massage and compression to help drain.>  > To elicit the letdown: She used Rescue Remedy for a few weeks and th! en it stopped helping. She did RPS for a few weeks and then that stopped helping. She tried a hospital grade pump. That didn’t help. She has tried different sized flanges, the Pumpin Pals are most comfortable for her â€" she has tried turning them in different directions to see if that would help. Nothing. She feels like her body is ‘over’ the pumping and she is at a loss as to what

to do now. >  > Mom would like to continue to provide EBM for her son â€" but having to sit there for an hour each time is causing her to become anxious and stressed and resentful. She said if she could get that let down to kick in and be done pumping in 20-30 minutes she’d be fine â€" but she has been at this routine for a couple months now and it isn’t getting any better â€" it is getting worse.>  > For the plugs, she is taking lecithin â€" she was down to one dose per day and I encouraged her to go back up to 4 times per day for the interim and see if that helped with the plugs. But we need to figure something out for her let down and to make pumping more manageable for her. >  > We need any thoughts, ideas, input…homeopathic, naturopathic, western medicine â€" Whatever!  She does acknowledge that there is

an emotional component here, but just focusing on the good she is doing for her baby isn’t enough. She wants to be done, but then has guilt for wanting to be done with the insanity. L I feel for her in a big way.>  > Please e-mail me privately and to the list. Thank you in advance!>  > Warmly,> Jaye >  > ibclc@...>  >  > > Jaye Simpson, CLC, IBCLC, CIIM, MoM> Breastfeeding Network> www.breastfeedingnetwork.net>  >

[Guest guest]

Thank you, I will look into it. Tyring to find a research paper/article etc to

pass onto OB's who only want to give moms 1 or 2 days supply of fluconazole.

Melitta

 

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> > Hi All, 

> > Permission to post.  I have posted about this mom before.  She is an

exclusive pumping mom who first crashed her supply, then 2 wks later not only

brought it back (with a crappy pump!) but brought it back with such a vengeance

that she was producing upwards of 80 oz per day with only 5-6 pumpings.  Then

she started having issues with let-down and used Rescue Remedy and RPS.

> >  

> > She is now 9.5 mo post-partum and is struggling with pumping.  It takes

her an hour to pump †" if she does not pump for that hour she ends up with

nasty plugs.  She pumps 4 times per 24 hours (every 6 hours) and produces

30-40oz (she had a nasty mastitis that dropped her supply the hard way 2 months

ago).  Plugs occur regardless of if she pumps more frequently or not. 

They are always there.  In the first half hour of pumping she gets maybe 2oz

because of lack of letdown.  So she continues to pump because she knows the

breasts are not even close to empty.  In that next half-hour she will finally

have a letdown (around 30-40 min into pumping) and be able to empty the

breast.  Her breasts require a lot of massage and compression to help drain.

> >  

> > To elicit the letdown:  She used Rescue Remedy for a few weeks and th! en

it stopped helping.  She did RPS for a few weeks and then that stopped

helping.  She tried a hospital grade pump.  That didn’t help. 

She has tried different sized flanges, the Pumpin Pals are most comfortable for

her †" she has tried turning them in different directions to see if that

would help.  Nothing.  She feels like her body is ‘over’ the

pumping and she is at a loss as to what to do now. 

> >  

> > Mom would like to continue to provide EBM for her son †" but having to

sit there for an hour each time is causing her to become anxious and stressed

and resentful.  She said if she could get that let down to kick in and be

done pumping in 20-30 minutes she’d be fine †" but she has been at

this routine for a couple months now and it isn’t getting any better

†" it is getting worse.

> >  

> > For the plugs, she is taking lecithin †" she was down to one dose per

day and I encouraged her to go back up to 4 times per day for the interim and

see if that helped with the plugs.  But we need to figure something out for

her let down and to make pumping more manageable for her. 

> >  

> > We need any thoughts, ideas, input…homeopathic, naturopathic, western

medicine †" Whatever!   She does acknowledge that there is an

emotional component here, but just focusing on the good she is doing for her

baby isn’t enough.  She wants to be done, but then has guilt for

wanting to be done with the insanity.  L  I feel for her in a big way.

> >  

> > Please e-mail me privately and to the list.  Thank you in advance!

> >  

> > Warmly,

> > Jaye

> >  

> > ibclc@

> >  

> >  

> >

> > Jaye Simpson, CLC, IBCLC, CIIM, MoM

> > Breastfeeding Network

> > www.breastfeedingnetwork.net

> >  

> >

>

[Guest guest]

Do you have the first edition of Clinical Therapy in Breastfeeding Patients by Hale and Berens? Dr. Hale gives the information in there about treating for 14 days, with a double-dose on Day 1. He took that out of the second edition, when he convinced himself that there is no such thing as ductal yeast. (a point I disagree with)

Dee Kassing

Subject: Re: Pumping mom needs help - cross post...To: Date: Tuesday, January 31, 2012, 11:15 PM

Thank you, I will look into it. Tyring to find a research paper/article etc to pass onto OB's who only want to give moms 1 or 2 days supply of fluconazole.Melitta > > > > > > > > > > > > > > > > > > Hi All, > > Permission to post. I have posted about this mom before. She is an exclusive pumping mom who first crashed her supply, then 2 wks

later not only brought it back (with a crappy pump!) but brought it back with such a vengeance that she was producing upwards of 80 oz per day with only 5-6 pumpings. Then she started having issues with let-down and used Rescue Remedy and RPS. > >  > > She is now 9.5 mo post-partum and is struggling with pumping. It takes her an hour to pump â€" if she does not pump for that hour she ends up with nasty plugs. She pumps 4 times per 24 hours (every 6 hours) and produces 30-40oz (she had a nasty mastitis that dropped her supply the hard way 2 months ago). Plugs occur regardless of if she pumps more frequently or not. They are always there. In the first half hour of pumping she gets maybe 2oz because of lack of letdown.  So she continues to pump because she knows the breasts are not even close to empty. In that next

half-hour she will finally have a letdown (around 30-40 min into pumping) and be able to empty the breast. Her breasts require a lot of massage and compression to help drain.> >  > > To elicit the letdown: She used Rescue Remedy for a few weeks and th! en it stopped helping. She did RPS for a few weeks and then that stopped helping. She tried a hospital grade pump. That didn’t help. She has tried different sized flanges, the Pumpin Pals are most comfortable for her â€" she has tried turning them in different directions to see if that would help. Nothing. She feels like her body is ‘over’ the pumping and she is at a loss as to what to do now. > >  > > Mom would like to continue to provide EBM for her son â€" but

having to sit there for an hour each time is causing her to become anxious and stressed and resentful. She said if she could get that let down to kick in and be done pumping in 20-30 minutes she’d be fine â€" but she has been at this routine for a couple months now and it isn’t getting any better â€" it is getting worse.> >  > > For the plugs, she is taking lecithin â€" she was down to one dose per day and I encouraged her to go back up to 4 times per day for the interim and see if that helped with the plugs. But we need to figure something out for her let down and to make pumping more manageable for her. > >  > > We need any thoughts, ideas, input…homeopathic, naturopathic, western medicine â€" Whatever!  She does acknowledge that there is an

emotional component here, but just focusing on the good she is doing for her baby isn’t enough. She wants to be done, but then has guilt for wanting to be done with the insanity. L I feel for her in a big way.> >  > > Please e-mail me privately and to the list. Thank you in advance!> >  > > Warmly,> > Jaye > >  > > ibclc@> >  > >  > > > > Jaye Simpson, CLC, IBCLC, CIIM, MoM> > Breastfeeding Network> > www.breastfeedingnetwork.net> >  > >>

[Guest guest]

Yes I do and I found it, Thanks Melitta

 

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > Hi All, 

> > > Permission to post.  I have posted about this mom before. 

She is an exclusive pumping mom who first crashed her supply, then 2 wks later

not only brought it back (with a crappy pump!) but brought it back with such a

vengeance that she was producing upwards of 80 oz per day with only 5-6

pumpings.  Then she started having issues with let-down and used Rescue

Remedy and RPS.

> > >  

> > > She is now 9.5 mo post-partum and is struggling with pumping.  It

takes her an hour to pump †" if she does not pump for that hour she

ends up with nasty plugs.  She pumps 4 times per 24 hours (every 6

hours) and produces 30-40oz (she had a nasty mastitis that dropped her supply

the hard way 2 months ago).  Plugs occur regardless of if she pumps more

frequently or not.  They are always there.  In the first half

hour of pumping she gets maybe 2oz because of lack of letdown.  So she

continues to pump because she knows the breasts are not even close to

empty.  In that next half-hour she will finally have a letdown (around

30-40 min into pumping) and be able to empty the breast.  Her breasts

require a lot of massage and compression to help drain.

> > >  

> > > To elicit the letdown:  She used Rescue Remedy for a few weeks and

th! en it stopped helping.  She did RPS for a few weeks and then that

stopped helping.  She tried a hospital grade pump.  That

didn’t help.  She has tried different sized flanges,

the Pumpin Pals are most comfortable for her †" she has tried turning

them in different directions to see if that would help. 

Nothing.  She feels like her body is

â€ˊ" over’ the pumping and she is at a loss as to

what to do now. 

> > >  

> > > Mom would like to continue to provide EBM for her son †" but

having to sit there for an hour each time is causing her to become anxious and

stressed and resentful.  She said if she could get that let down to kick

in and be done pumping in 20-30 minutes she’d be fine

†" but she has been at this routine for a couple months now and it

isn’t getting any better †" it is getting worse.

> > >  

> > > For the plugs, she is taking lecithin †" she was down to one

dose per day and I encouraged her to go back up to 4 times per day for the

interim and see if that helped with the plugs.  But we need to figure

something out for her let down and to make pumping more manageable for

her. 

> > >  

> > > We need any thoughts, ideas, input…homeopathic,

naturopathic, western medicine †" Whatever!   She does

acknowledge that there is an emotional component here, but just focusing on the

good she is doing for her baby isn’t enough.  She wants

to be done, but then has guilt for wanting to be done with the

insanity.  L  I feel for her in a big way.

> > >  

> > > Please e-mail me privately and to the list.  Thank you in advance!

> > >  

> > > Warmly,

> > > Jaye

> > >  

> > > ibclc@

> > >  

> > >  

> > >

> > > Jaye Simpson, CLC, IBCLC, CIIM, MoM

> > > Breastfeeding Network

> > > www.breastfeedingnetwork.net

> > >  

> > >

> >

>

[Guest guest]

I'm looking at the 2010 edition of Medications and Mothers Milk for dosage of Fluconazole(Diflucan).

Systemic candidasis is listed as 400mg loading with 200 daily for 28 days. No mentiopn of dosage for candida infection on nipples.

Dee, do you think that the higher dosage is for ductal candida( systemic ) and possibly a lower dosage can be effective if just the nipple is infected?

Ellen Simpson

Tampa, FL

Yes I do and I found it, Thanks Melitta>

[Guest guest]

Ellen, I'm not Dee -- but I'm sure she'll respond...

This is my take on candida of the nipples -- using Diflucan for that is sorta like shooting a fly with a cannon. Not to mention I've never found it effective for the few moms that have been put on it. Topical is a much better way to go, plus acidophilus. Have you tried coconut oil? That's my first go-to for nipple yeast.

Jan

I'm looking at the 2010 edition of Medications and Mothers Milk for dosage of Fluconazole(Diflucan).

Systemic candidasis is listed as 400mg loading with 200 daily for 28 days. No mentiopn of dosage for candida infection on nipples.

Dee, do you think that the higher dosage is for ductal candida( systemic ) and possibly a lower dosage can be effective if just the nipple is infected?

Ellen Simpson

Tampa, FL