Please click the relevant flowchart box to be taken directly to textual information.
Please also see the Breastfeeding Network guidance on differential diagnosis of breast pain.
A full breastfeed should be observed prior to diagnosing thrush and/or commencing thrush treatment. This will usually be done by either the local midwife or health visitor prior to referral to the GP.
Effective positioning and attachement is crucial to ensure adequate milk production, milk transfer and breast health. This should be the primary concern when assessing any breastfeeding problems. Once effective positioning and attachment is confirmed then other causes of nipple pain can be considered.
If any breastfeeding difficulties are identified please refer to the Countywide Infant Feeding pathway.
Before a diagnosis of thrush is made, consider taking swabs of the mother’s nipples and of the baby’s mouth to detect bacterial or candida growth.
The guidelines aim to assist health practitioners with the accurate diagnosis and treatment of thrush in the breastfeeding mother and baby.
Please follow the resource link below to view.
If any breastfeeding difficulties are identified please refer according to the Countywide Infant Feeding pathway.
BOTH MOTHER AND BABY MUST BE TREATED TOGETHER to avoid reinfection.
Please follow this link for information regarding Thrush and use of expressed breastmilk whilst having treatment which may be useful for patients.