Milk Matters by Patricia Hatherly

A mother, who had suffered gestational diabetes in her pregnancy, (and still has polyuria and polydypsia), saw me with her baby of seven weeks, for breast pain. She describes it as a shooting burning pain and reports that her nipples (which are rosy red) blanch during the episodes of pain. Her pregnancy was further complicated by a ruptured appendix at 33 weeks for which she underwent emergency surgery which was followed by sustained antibiotic treatment. It was a short labour with a precipitate birth and she sustained a 3rd degree tear.

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