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Date: | Mon, 17 Oct 2005 21:09:59 EDT |
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Dear Wise Ones,
I have permission to post. Mom had severely cracked nipples upon hospital
discharge. She was diagnosed with mastitis 2 and a half weeks postpartum.
Had I&D for abcess in left breast. Incision was made about 3 cms from edge of
areola at about 5 o'clock position. Copious amounts of milk drained from
wound for three weeks. The incision is now mostly healed and it leaks just a
tiny amount. Mom is having little success with pumping this breast, hand
expression is not very effective either. Baby will occasionally nurse on that
side with a nipple shield. He did not do well today on the left breast,
probably due to little flow. Breast is always very firm. Reverse pressure
softening doesn't really accomplish much. Mom has not been able to use moist heat
very much from the beginning of mastitis diagnosis. Nipple is very flat and
won't evert.
Mom is by herself most of the day. Baby has continued to grow well nursing
on the right breast. I have suggested moist heat for 15 minutes prior to
attempting to nurse baby or pump and do reverse pressure softening just before
latching or pumping or hand expressing. I wondered if a breast shell worn
between feedings would help promote some leakage. We tried pumping while she
was feeding baby, but didn't get much.
Mom would like to dry up the milk in the left breast. Do you think cabbage
would help? The doctor will most likely tell her on Thursday that she has
to give up breastfeeding entirely as he feels that the breast will never
involute without this occurring. This is contrary to what I have read in Jack
Newman's Ultimate Breastfeeding Answer Book.
Do you have any other suggestions for the mom? She has worked so hard to
continue to nurse and her goal is for one year. Thank you for any advice.
Mary-Jane Sackett, RN, BSN, IBCLC, RLC, CCE, CD(DONA)
Registered Lactation Consultant, Certified Childbirth Educator and Certified
Doula
Maternal Child Health Visiting Nurse
Pittsfield, MA
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