Ruth Lawrence, "Breastfeeding for the Medical Professional", recommends
cabbage leaves for engorgement. Green cabbage leaves, discard outer
layers, wash in cold water, shake off water, place leaves in sealed plastic
bag, refrigerate until cold, do not freeze, when cold, remove enough leaves
to make a flower around breasts and under arms. Leave on for 20-60 minutes,
4-10 times per day between feedings or pumpings. ( pumping more than 10
minutes and just to comfort will increase milk supply, my imput) Put baby
to breast every 1.5 to 2 hours until engorgement relieved. The cabbage can
be very effective and should not be over used. Relief may be seen in as
little as 20 min.
Hope this may help.
On Sun, Jan 8, 2012 at 12:49 PM, Leslie Cree <[log in to unmask]> wrote:
> Hello all,
> Mom has given permission for me to post, as we are stumped. She is 2nd
> time mom to an 11 day-old, seen by me on Wednesday last (infant was 8 days
> at the time of our visit). She has bilateral nipple cracks on the upper
> tips. Infant was observed to have shallow latch and difficulty maintaining
> a good seal.
> Infant tested for suck, very tight mouth and jaw, he chomps down and does
> not tolerate any stimulus on either his palate or mid-tongue (response =
> gagging). Mother has experienced unrelieved engorgement since day 3
> postpartum, when her milk "came in". Mom had been pumping to relieve
> fullness, with any more than a two-hour interval causing her great
> discomfort. She breastfed infant every 2 - 3 hours, or when he showed
> interest cues. Infant gaining well, and stooling yellow. As mom reported
> that latch was less painful when her breasts were softer, we practiced some
> position changes and discussed ways to get infant to open wider, but she
> chose to primarily focus on taming her oversupply. Full draining and block
> feeding method was described at our visit, mom skeptical but willing to try
> anything. Mom tried full draining pump attempt on Wednesday after our
> visit. She reported pumping for 45 minutes without any sign of milk flow
> slowing. She attemped to block feed and still felt the need to express for
> comfort the rest of Wednesday. On Thursday Mom followed up with her
> physician on recommendation for evaluation for pain medication and
> guidance. Mom has been prescribed antibiotics for bi-lateral mastitis and
> dr. prescribed nystatin ointment for her nipple wounds. (mom's breasts were
> full but no signs of blocked ducts or mastitis symptoms noted on Wed., at
> Thurs visit mom reported phys detected a large lump deep in her breast.)
> Of interest is mom is taking Wellbutrin. Mom also going to try peppermint
> to lower supply.
> If I've missed anything, I'd be most grateful for your instruction and
> guidance. This mom and I would be be appreciative of any suggestions to
> help her situation. Sorry for the long post.
> Kindly,
> Leslie Cree, IBCLC
>
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