---- [log in to unmask] wrote: 
> Karen, 
> 
> Re your post about mom of twins with low milk supply and possible nipple 
> blebs, some thoughts.   Has she tried more intense treatment of blebs/plugged 
> ducts?  The thought occurred to me that there has been little direct contact 
of 
> nipple to mouth or any "lubrication" of nipple.  (you mentioned nipple shield 
> use when babies breastfeed about 4x/day; I understand rationale.).  I wonder 
if 
> using BF Atlas suggestion of cotton ball soaked with olive oil worn over 
> nipple in between feeds/pumping, castor oil massaged into ropey areas of 
breast (s) 
> with heat application several times per day, and some direct nursing without 
> shield could be tried?  Soaking breast in a cup or bowl of warm water or 
> chamomile tea (chamomile has anti inflammatory properties) with gentle massage 
has 
> helped moms I've worked with when ducts plugged/nipple blebs.  
> 
 

If she is still hanging in there tomorrow and feeling even a little bit better, 
these suggestions really may help. I'm now thinking her breasts have been 
"plugging up" from the get-go. I had to really limit how much I went into Friday 
and yesterday because she had really reached her limit of being able to take in 
info. Lecithin was another thing I wanted to mention, but her head was already 
swimming from strategies and other BF-related issues. 
 
Neither baby yet latches without the shield -- they're just really getting it 
with the bottle teat, especially her little boy. (You can imagine how happy I 
was when both did even this!) Don't think she's up for DH's "help" right now! 
 
 
> You also mentioned this mom not being able to go on domperidone; how about 
> herbal galactagogues?  In this regard, a mom I'm working with re supply issues 
> tried rasberry leaf tincture on her own for letdown with good results and when 
> I posted on the herbal bf site recently someone suggested fennel for letdown. 
> 
> Mom is lucky to have someone like you to give her support and work overtime 
> to help her. 
> 
 
We've talked about herbal galactogogues, but she hasn't gone there yet. She did 
get more milk out of the right side yesterday -- closer to what she gets from 
the left -- with the pre-pump warm compress and "scraping" the bleb (several 
times per pumping as it seals over). I think she'll be more amenable if she's 
feeling more hopeful that plugs may be related to low volumes obtained. 
 
Her doc is willing to prescribe oxytocin nasal spray, but by the time I tracked 
down compounding pharmacists yesterday, things had closed for the weekend. Good news is that she did seem to have a little spray on the right side with those 
better pumpings -- still took longer than expected but better than before. 
Haven't talked to her today yet, so I'm not sure if progress has continued. (I'm 
almost afraid to call!) From feedback she gives, I think she's more willing to 
go for the med than herbs... at least for right now. 
 
Thanks for your help. I'll definitely pass the ideas along -- easy to implement 
which helps a lot. I feel real DUH for not thinking of the BF Atlas... 
 
Karen 

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