At 04:21 PM 9/21/99 EDT, you wrote:
>i find it is always important to evaluate whether a mother with extreme
>engorgement has generalized edema; it doesn't seem that the breasts can
>improve unless the overall edema is addressed, which means i generally tell
>them to call their doctor right away (even if it is the middle of the night
>on a holiday weekend) and discuss the problem. if a diuretic is needed, the
>breast engorgement can be dramatically improved once it is started.

And watermelon is a good natural diuretic.

Also, she needs to "wear" the cabbage leaves round the clock, changing them
when they wilt,until the swelling is gone.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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