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Subject:
From:
Cathy Fetherston <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 16 Sep 1999 15:11:11 +0800
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Dear Jessica,
Regarding advice about bras and prevention of mastitis, I conducted research
into risk factors for mastitis, where I examined 36 variables potentially
associated with mastitis (Published: Fetherston, C. 1998. Risk factors for
Lactation Mastitis. J Hum Lact. 14:101-109). I found (among other things)
restriction from a tight bra was a risk factor for mastitis in first time
breast feeders and for blocked ducts in expereinced feeders (Multi's). In
this paper I recommended women do not wear a bra during the first week of
lactation as restriction from a bra is very common during this time due the
increased fullness,and sometimes engorgement that is experienced by women
when the milk first "comes in". I realise that many women may not feel
comfortable without the support of a bra at this, or any time. In these
women I would encourage they remove their bra when feeding to facilitate
adequate drainage from areas that may be restricted when wearing a bra -
this also allows the benefit of skin to skin contact in these early days
when the development of good attachment techniques are essential. In
addition, wearing a bra to bed at night should also be avoided if possible
as  when lying in one position for a prolonged period of time pressure from
seams, nursing pads or tight bras can cause local inflammation and
subsequent blockage or sluggish flow of milk. I have discussed alternatives
to not wearing a bra to bed in the above paper.
Regards
Cathy Fetherston

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