Cathy,
Yes, I would totally agree. The only thing I would add is that some
moms want to proceed with this process too hastily, and I have had a couple of
resulting mastitis cases from trying to speed things along. It is important
to stay on top of these cases. They can easily get out of hand!
Debbie Albert, RN, Ph.D., LMHC, IBCLC, RLC
Tampa Lactation Counseling
Tampa, FL
In a message dated 7/21/05 12:05:49 A.M. Eastern Daylight Time,
[log in to unmask] writes:
Date: Wed, 20 Jul 2005 20:37:30 -0400
From: "Catherine Watson Genna, IBCLC" <[log in to unmask]>
Subject: Re: Did I Mismanage This Case?
Hindsight is always 20/20, so I'm not criticizing your management of
this case at all. Oversupply moms are more prone to mastitis, so I'm
usually cautious about this. I usually use Diane Wiessinger's procedure
for oversupply to gradually decrease milk supply. First, I recommend
that mom bf on one breast per feeding, unless baby clearly wants more.
Next, she feeds on one breast as many times as baby wants during a 3
hour period, and then uses the opposite breast for the next 3 hours
(unless the baby goes longer than 3 hours, then she uses the breast
whose "turn" it is, then uses the other breast for the next feeding,
whenever it is). Next, we stretch the time between switches to 4 hours,
then 5, until mom and baby are comfortable.
If more help than this is needed, then a little sage tea or tincture is
also helpful.
Catherine Watson Genna, IBCLC NYC
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