TREATMENT PLAN, PROGNOSIS
TREATMENT PLAN
Conservative:
- Encourage breastfeeding
- Optimise attachment/positioning
- Simple massage
- Express milk
- Well-fitted bras
- Non-restrictive clothing
- Simple analgesia
Medical:
- Topical/oral antibiotics for bacterial infection: flucloxacillin, mupirocin
- Antifungals for candida: miconazole
- Topical steroids, if indicated
- Treat underlying skin conditions
Referral indicated for:
- Faltering growth
- Developmental issues
- Dehydration
- Raynaud’s associated nipple pain
- Prolactin deficiencies
- Failed primary care measures
PROGNOSIS
Aim to continue:
- Exclusive breastfeeding for 6 months
- Can continue up to 2 years or longer
Introduction of solids at 6 months