Catherine Watson Genna wrote:

"Mastitis often reduces the metabolism of the affected breast, and
therefore decreases milk production.  Mom might feel engorged because of
the inflammation in the breast rather than pressure from milk storage.
Engorgement usually responds to ice, whereas inflammation responds to
NSAIDs and heat.  Your assessment of initial oversupply makes sense as
increased supply seems to predispose to mastitis."

Catherine and all, I know we have talked about heat vs cold ALOT but this
post made me start thinking again about my clinical practice.

I would like to know what clinical practices Lactneters are currently
recomending in terms of hot and cold RX's for mastitis and engorgement. I
know personally I am moving away from heat for inflammation, be it
inflamation from engorgement or mastitis. I see many mothers using heat on
engorged breasts and often on masititis and I think they they might be
exacerbating their problems. I do realize that many moms find great comfort
in heat but I am concerned.

Comments?

Warmly,
Star Siegfried RN,BA, IBCLC

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