The yeast connection: is Candida linked to breastfeeding associated pain?

Janet I. Andrews, Diedre K. Fleener, Shawn A. Messer, Wendy F. Hansen, Michael A. Pfaller, Daniel J. Diekema

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective: The objective of the study was to determine whether the isolation of Candida from breastfeeding women is associated with self-reported pain. Study Design: A prospective cohort study was conducted from May 2004 to July 2006. Ninety-eight breastfeeding women were enrolled: 20 women reported breastfeeding associated pain, and 78 women were asymptomatic. Cultures were obtained from breast milk, areolae, and infants' oropharynx. Results: Six of the 20 symptomatic women had breast milk cultures positive for yeast, compared with 6 of 78 controls (30% vs 7.7%, P = .015). Among the 12 women from whom yeast was isolated, 11 grew Candida albicans. Incidence of Staphylococcus aureus isolation did not differ significantly between groups (5 of 20 vs 15 of 78, P > .05). Conclusion: C. albicans is found more often in breastfeeding mothers who report pain as compared with asymptomatic breastfeeding mothers. Further studies, including treatment trials, are needed to determine whether Candida plays an etiologic role in breastfeeding associated pain.

Original languageEnglish
Pages (from-to)424.e1-424.e4
JournalAmerican Journal of Obstetrics and Gynecology
Issue number4
StatePublished - Oct 2007


  • Candida albicans
  • breastfeeding

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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