Breast Tenderness on Amaxicillin, continue feeding! - USMLE Forums
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Old 08-06-2011
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Question Breast Tenderness on Amaxicillin, continue feeding!

A 28 years old female primigravida gives birth to a full term baby by normal per vaginal delivery. She is in her 5th day post delivery, she started developing breast tenderness. On examination, the breasts are tender bilaterally. She is started on Amoxicillin. The patient asks physician if it it is OK to breast feed the baby?

A. Stop breast feeding until the antibiotic course is finished
B. Stop breast feeding until the tender finishes
C. Do not stop breast feeding
D. Feed the baby expressed milk
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Old 08-06-2011
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stop breast feeding until tender finishes
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Old 08-06-2011
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C. Do not stop breast feeding
i think this is mastitis...u dont stop feeding the baby...
give the mother amox plus breast massages..and application of heat...
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Old 08-06-2011
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Guys, amox does pass through breast milk (category B), and you need to finish the course! (Absolute must!)

So best answer is A) stop till done course, untill then, I'm sure baby can survive on formula (course is max 7 days anyway)

And yes, this is mastitis, most commonly due to S. Aureus (sorta odd to give penicillin for SA, but ohwell)
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Old 08-07-2011
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Question What about thinking this way

Hey guys,
How about forgetting whether amoxicillin excreted in milk or not and think that it is mastitis in which there is inflammation and infectious micro organisms and the mom should not expose the baby to these???!!!
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Old 08-07-2011
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Correct Answer The correct answer is C!

C. Do not stop breast feeding

Neither the antibiotic nor the organism is transmitted to the baby by breast feeding. The other options are just distractions!

This is a case of mastitis post delivery and breast feeding needs to be continued..
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