I sometimes feel as if I’ve experienced pretty much every breastfeeding problem going: sore/bleeding/fissured nipples; mastitis (although fortunately only the early stages); not enough milk; too much milk; and a very temperamental let-down reflex. One of the only things I haven’t suffered from is thrush – a fungal or yeast (candida) infection that allegedly causes excruciating nipple and breast pain. I use the word ‘allegedly’ simply because it is not always easy to determine whether the symptoms associated with thrush are definitely caused by a fungal infection, or whether they are in fact down to something else. I am not a thrush doubter – I think there is sufficient evidence to justify taking it very seriously, as does the NHS. Many health professionals who do not specialize in breastfeeding are yet to be convinced, however, as the Mumsnet discussions below testify:
- Just fell out with my GP over thrush
- My GP: seriously, what’s the point?
- Thrush in milk ducts? No GP support
(These are just a drop in the ocean – you will find all manner of breastfeeding ignorance from health professionals on these noticeboards. The GP who suggested a mother might pass mastitis on to her baby deserves a special mention.)
It isn’t just those outside the field who disagree about thrush: within the scientific literature there are conflicting results and opinions, as well as holes in clinical knowledge because the relevant research simply hasn’t been conducted. I’m currently wading through the published work in this area, and am finding it’s actually quite difficult to get to the bottom of the relationship between yeast infections and breastfeeding problems. As it’s important to try to make sense of it though, I’ll be writing several posts on it over the next few weeks, starting with one that attempts to address the controversy that still surrounds the diagnosis.