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Date: | Wed, 20 Jul 2005 17:55:37 +0000 |
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To Terri, from your description it does not sound like you mismanaged.
Adjusting for oversupply is not a simple fix, often it takes several
modifications of what mom is doing over several weeks. Mastitis does happen
and oversupply does predispose to it.
Just as an aside, if the oversupply is not severe at 10 days, I might not
try to down-regulate that early. Instead I might try positioning
adjustments, having baby's neck extended (nose tipped back farther) and the
like. If mom had been using the shield in a less-than-ideal manner or if the
size did not fit her, the baby may have been gassy from not getting a good,
comfortable latch and feed.
No, I don't believe that 'kneading' is part of normal management of
mastitis. Thorough draining of the affected breast is; nurse the baby or
express.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA
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