Information Sheet and Care Plan for Yeast (Candida)

Be persistent in treating yeast. Once you have it, it tends to stick around and not go away by it self, because it thrives on moisture and sugar, and nipples and baby's mouths provide the perfect environment for it to grow. Some women seem to be more prone to developing yeast infections than others. Yeast infections during lactation can be very painful, and it is easy to become discouraged and even consider weaning your baby. Try to remember that yeast is a medical condition that, with consistent treatment of both mother and baby, can be cleared up completely, and hopefully will not reoccur. It is also important to note that if you have yeast on your nipples or in your milk ducts, weaning your baby will not necessarily make it go away and you will still need to treat the problem.

Be sure to remain in close contact with your health care provider during treatment, because yeast presents a variety of symptoms an requires continuing reassessment and adjustment of treatments to provide optimal relief and effect a cure in the shortest period of time. Try not to become discouraged. Please let me know if you have any questions at any time, and we will work on the problem together.

Resources

Amir L, Hoover KL, Mulford CA:Candidiasis and Breastfeeding (Unit 18). Lactation Consultant Series. New York: Avery Publishing Group, Inc. 1995
Bodey, Andriole V., 6pp in: Systemic Antifungal Therapy. Scientific Therapeutics Information, 1994
Briggs GG, Freeman RK, Yaffe SJ: Drugs in Pregnancy and Lactation (4th edition). Philadelphia: Williams and Wilkins, 370-371, 1994
Butler, R, Koch K, Treating Thrush in the Breastfeeding Family. La Leche League Int., 1999
Crook, William : The Yeast Connection and the Woman. Jackson, Tennessee:Professional Books, Inc.1997
Force, RW. Fluconazole Concentrations in Breastmilk. Pediatric Infectious Disease 14 (3): 325-336, 1995
Hale, Thomas: Clinical Therapy in Breastfeeding Patients, 1st edition, Pharmasoft Medical Publishing.1999
Hale, Thomas: Medications and Mother's Milk, 8th edition. Pharmasoft Medical Publishing.1999-2000, pp.269-273
Hancock KF, Spangler AK, Journal of Human Lactation, Vol.9, #3, September 1994. Human Sciences Press, Inc. New York:179-180
Huggins K, Billon SF: Twenty Cases of Persistent Sore Nipples: Collaboration Between Lactation and Dermatologist. Journal of Human Lactation, Vol. 9, #3, September 1994. Human Sciences Press, Inc. New York
Lawrence, RA: Breastfeeding: a Guide for the Medical Profession, 4th edition. Philadelphia: CV Mosby co., 264-265, 492-494. 1992
Paap, KC. Update on fluconazole Pharmacology Forum. Infectious Disease in Children, pp. 19-21. April 1996.
Pfizer, Inc. . U.S. Pharmaceuticals Group, New York, NY. Data on file, Jan. 1996
Riordan J, Auerbach K: Breastfeeding and Human Lactation,2nd edition. Jones and Bartlett Publishers, 1999


Anne SmithAnne Smith, IBCLC has breastfed a total of six children (three boys, three girls). She feel that her first hand experience plus her more than twenty years experience of counseling nursing mothers are among her most important credentials. Anne has been a La Leche Leader since 1978 and IBCLC since 1990. As a nursing mother, LLL Leader, and IBCLC, Anne has worked in many areas over the years. She has led support group meetings, taught breastfeeding classes, trained breastfeeding peer counselors to work with low income mothers, worked one-on-one with mothers to solve breastfeeding problems, helped thousands of mothers with breastfeeding questions over the phone, held workshops for health professionals on various breastfeeding topics, taught OB, Pediatric, and Family Practice Residents breastfeeding at Bowman Gray School of Medicine, and run a breast pump rental station with over 100 pumps, scales, and nursing bras for the past eleven years. We invite you to visit Anne's website.

Copyright © Anne Smith. Permission to republish granted to Pregnancy.org, LLC.