Ruth A. Lawrence, MD, Discussant
MRS C, A 35-YEAR-OLD COMMUNICATIONS PROfessional, has a 3-week-old child and has been experiencing difficulty with breastfeeding. Married and living in Boston, she receives care from an obstetrician-gynecologist, Dr T, at the Beth Israel Deaconess Medical Center and has commercial health insurance in a managed care plan.
Mrs C experienced menarche at age 12 years, had a miscarriage 2 years ago, and gave birth after an uncomplicated pregnancy to her first child. She ruptured membranes on her due date and had a vaginal delivery aided by oxytocin and epidural anesthesia. During pregnancy, she noted mild breast enlargement without nipple discharge. She attended prenatal classes at the hospital, including 1 focusing on breastfeeding,
something she felt important for both her and her child. Weighing 7 lb 4 oz at birth, the infant took to the breast eagerly immediately following delivery. However, within 24 hours, the patient’s nipples became cracked and painful and began to bleed.
Dr. Lawrence az eset megbeszélése kapcsán érinti a szoptatással kapcsolatos legfontosabb tudnivalókat.
A teljes cikk a The Journal of the American Medical Association 2001. januári számában olvasható.