Hi everyone,
I´ve just come across the abstract of this article, and I must say I am a
bit shocked at the conclusions.
My librarian has not been able to access the article. Has anyone read it?
J Matern Fetal Neonatal Med. <http://www.ncbi.nlm.nih.gov/pubmed/26513602#>
2015 Nov 30:1-5. [Epub ahead of print]
Management of mastitis and breast engorgement in breastfeeding women.
Pustotina O
<http://www.ncbi.nlm.nih.gov/pubmed/?term=Pustotina%20O%5BAuthor%5D&cauthor=true&cauthor_uid=26513602>
1.
Author information <http://www.ncbi.nlm.nih.gov/pubmed/26513602#>
Abstract
OBJECTIVE:
To identify the best management approaches to mastitis management in
breastfeeding women and heavy breast engorgement in the early postnatal
period.
METHODS:
We compared various international guidelines and reviews on mastitis
management in breastfeeding women and breast engorgement treatment.
RESULTS:
Effective milk removal is recommended as a first step in mastitis
management. Active emptying of the breasts can prevent mastitis development
in most cases. If it fails, antibiotics should be administered for 10-14
days with continuing breastfeeding. Russian guidelines recommend antibiotic
therapy during 5-7 days with temporary bromocriptine-induced breastfeeding
suppression. In case of heavy breast engorgement after lactation is
initiated, Progesterone-containing gel can be administered. Application of
the progesterone-containing gel on the breast skin improves swelling, and
reduces engorgement and tenderness in 15-20 minutes.
CONCLUSIONS:
Antibiotics with temporary suppression of breastfeeding are more effective
than with continuing breastfeeding in mastitis management. The
progesterone-containing gel is recommended on the 3rd-4th days after
childbirth in heavy breast engorgement to prevent mastitis.
--
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>
Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html
Comprometida con el Derecho a Vivir
http://derechoavivir.org
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