I searched archives under 'kneading' and 'mastitis' and can't come up with
what I am wanting to know. When a mom has mastitis, is it appropriate
treatment to 'knead her breast' for 30 minutes or more, than to do so with every
feeding to move the infection out? I can't find this listed anywhere. I read
warm compresses, antibiotics, even gentle massage for plugged ducts. I am
open to knew ideas, but in all my years, I have never kneaded a mother's breast
if there were signs of infection. I refer her to her hcp, discuss the
importance of breast emptying, correct latch, express, whatever, but I have never
kneaded a breast. So, tell me, is this something I should be doing, or should
learn to do? (I am not sure I would be comfortable causing a mom pain.) Mom
said it was extremely painful but she let it be done and then did it because
she was told to. (Why don't they call us back and tell us when there is a
change?! ) I saw her just as LII was setting in and she was full, but not
engorged at the time, there was however an area that was firmer and just
slightly red, though mom had no fever. I gave her typical instructions/suggestions
including to call her HCP first thing in the morning if the area had not gone
away or she had a fever, etc. (I do follow up the next day, but the next day
she still did not have a problem and the red area was not worse and she had
no fever -- it was a Sunday so she was going to contact her doctor in the
morning.) I want to know if I should be adding this to my knowledge base as
something I have missed over the years, or if it is not appropriate management
of mastitis.
Thanks,
Pam MazzellaDiBosco, IBCLC
Florida, USA
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