Certified Breastfeeding Counselor (CBC) Practice Exam 2026 – The Comprehensive All-in-One Guide to Exam Success!

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What is a common treatment approach for mammary candida in both mother and baby?

Antibiotics

Topical ointment containing miconazole

Oral antifungal medication

In the context of treating mammary candida, the use of oral antifungal medication is a common and effective approach. Candida infections, particularly across breastfeeding dyads, can affect both the mother and the baby, leading to symptoms such as nipple pain for the mother and oral thrush for the infant.

Oral antifungal medications, such as fluconazole, are useful because they can address the systemic nature of the infection that can occur in both the mother and the baby. This treatment helps to eradicate the yeast from both the mother’s breast tissue and the baby’s oral cavity, ensuring that the source of the infection is treated thoroughly.

Although topical treatments like miconazole can also be effective, their impact may be limited to the local site of application, which can sometimes be insufficient if there are ongoing yeast infections elsewhere in the breastfeeding relationship. Additionally, mupropion is not typically associated with treating candida infections, but nystatin is useful for oral thrush alone.

Consequently, while different treatments may be applicable in specific cases, the comprehensive approach that oral antifungal medications provide supports the goal of effectively addressing mammary candida in both mother and baby.

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Nipple ointment such as mupropion and nystatin

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