Hello Wise Ones

I would like advice about  management of a   mum who has had  mastitis for the past 11 days.

Admitted to hospital and decided to rest her nipples for 24 hours, I have never seen such damaged nipples the end of each nipple was severed.

I am troubled that I wasn't able to get the affected breast flowing, I tried, ice packs, hand expressing,  light reverse pressure softening, and lots of pain relief,  nothing worked!!!!!

Finally  after working with this mum all day she  agreed to put her baby daughter back to the  affected breast with a shield , baby did  soften it slightly, when she became fussy she was then switched to the other breast  then  mum managed to  express around 5 mls.

What I would like to know is there other techniques that could I could  be using?

What is breast stripping?

Most of the protocols I have read suggest heat, I was under the impression that heat on mastitis can increase the edema and ice is recommended

Sincerely

June Nicholls
IBCLC/Midwife


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