Thank you for bringing this topic back...
I agree with Pam and have the same overall experience. For mastitis, the
approach I´ve learned and used so far was to keep the milk flowing, putting
care on being gentle with any type of intervention on a swollen, painful
breast, and having a care not to create an oversupply - balancing this with
not letting a downregulation occur specifically in the first two weeks
postpartum.
I love new ideas and they are absolutely necessary. For me, the problem is
not that Katrina proposes a new way of handling mastitis, the problem is
that this new, untested way, is offered to us in a protocol. Protocols
should generally based on well founded principles (such as they are in our
field). New ideas,new hypothesis should be tested and confirmed before they
become part of a protocol.
Just finished with my last client of the day, she explained how five days
ago her left breast became sore, the superior internal quadrant was red and
painful, and she felt chills. She told me she "pumped it empty" and then
favored that breast to feed her infant for a couple of days. Symptoms
resolved in 24 hours. Today she was fine. So, one of the maaaaany we see....
And I was musing... what if I had told her to do nothing on that breast?
It´s kind of an experiment, really... not something to be written down on a
protocol - at least for now, until there is enough experience to back it
up. That is my opinion.
Have a nice week!
Kika
--
Dra Carmela Baeza
Médico de familia, IBCLC nº L-17694
www.centroraices.com
www.ibclc.es
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