Hi Cynthia,
There are some approaches to breastfeeding issues that are scientific in
basis and then there are some that are based on past positive outcomes.
The use of cabbage leaves for engorgement is not totally without scientific
basis.  In the field of PT application of cold on an injured area, which has
some edema, has been proven to be the best approach.  As I stated in my past
post, cabbage is in it's natural state "cool" to the skin.  I find the
advantage of cabbage over cold packs are; the shape of the leaf contours to
the breast nicely, when the leaf starts to wilt is when it should be removed
(no need for clock watching), it is very inexpensive, and mom's can put them
in their bras and not be tied down holding them on like cold packs.
Addressing some of your concerns: on the strong smell cabbage can give, moms
from all over the world have different odors and I do not hear of babies
rejecting their moms because of this.  If a baby appeared to reject the
breast I would look into this as a possibility but remember that the cabbage
use is for less than 24 hour.  Regarding possible chemicals being absorbed
transdermally if this does occur it would be into the mother's blood stream
just as these chemicals could get into her system eating cabbage.
The last concern regarding cabbage caring listeria, I tell the moms to wash
the leaves before they apply them to their breast, which should address this
problem again just as she would before eating the leaves.
I prefer scientific basis to how I approach problems and have read many
articles on this treatment and feel very comfortable recommending cabbage.
My strongest evidence is the cold treatment and mom's feedback.
Hope this is helpful.  Thanks, Cynthia, for the stimulating conversations.
Ann Perry RN IBCLC
Boston, Mass

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