Sara, here are some suggestions to help bring down your client's milk supply
and therefore hopefully reduce her chances of developing a mastitis.
I would be very aggressive with cabbage leaves, applying every 1-3 hours
during the day while she is experiencing the engorgement.  I would use very
little or no heat on her breast, only for a minute just prior to a nursing.
Have her eat fresh sage and drink peppermint tea.  I believe it was Dr. Jayne
who recommended birth control pills to reduce over supply.  She suggested to
use them for only a week with the clinical application to reduce the supply
not for birth control then discontinue them so the supply would level off.
Hope this helps.
Ann Perry RN, IBCLC
Boston, MA

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