Does Maternal Quality of Life Influence Breastfeeding Difficulties?

Iran J Pediatr; Vol 24 (No 4), Aug 2014 Published by: Tehran University of Medical Sciences (http://ijp.tums.ac.ir) reported yet from Iran. Our patient illustrates the typical manifestation of an acute suppurative parotitis. Our patient was female unlike the most of reported patients[2,3]. She had unilateral parotid gland involvement, like the most of cases[2,3]. One third of the patients were prematures[2,3]. With regard to the average worldwide prematurity rate of 9.6%[5], it should be considered as a major risk factor for the infection. The patient was febrile on admission, however fever was reported in fewer than half of the patients[3]. As in our case, most patients had peripheral WBC count more than 15000/mm3[2,3]. Her ESR was 42mm/h which was elevated in only 20% of the patients[2]. S. aureus was the most frequently isolated pathogen in cultures of pus [2,3] same as in our case. However other Gram-positive organisms, Gram-negative organisms and anaerobic species were also isolated[2,6]. In our case blood culture was negative, like the most of cases[2,3]. She was product of a normal vaginal delivery. The causative agents are thought to be derived from the patients’ mouth flora. The newborns acquire their first microflora of the mouth, ear and skin from the mother’s birth canal during normal vaginal delivery[7]. She was breastfed, like the most of the patients with NSP[2] and raises the possibility of insufficient breast-feeding as a responsible factor for dehydration in these patients. Ultrasound is a useful device for diagnosis, and excludes other predisposing factors like Stenson’s duct abnormality, sialolith, and parotid gland neoplasm. The shortest effective duration reported in treating NSP due to S. aureus and in the absence of septicemia was 7 days[6]. The prognosis seems to be excellent, however as complications salivary fistula, facial palsy, mediastinitis, septicemia and meningitis were reported[1]. No deaths were reported in the patients studied after 1970[1].