Cathy,
 
    Yes, I would totally agree.  The only thing I  would add is that some 
moms want to proceed with this process too hastily, and I  have had a couple of 
resulting mastitis cases from trying to speed things  along.  It is important 
to stay on top of these cases.  They can  easily get out of hand!  
 
 
Debbie  Albert, RN, Ph.D., LMHC, IBCLC, RLC
Tampa Lactation Counseling
Tampa,  FL 

 
     
 
In a message dated 7/21/05 12:05:49 A.M. Eastern Daylight Time,  
[log in to unmask] writes:

Date:   Wed, 20 Jul 2005 20:37:30 -0400
From:    "Catherine Watson  Genna, IBCLC" <[log in to unmask]>
Subject: Re: Did I Mismanage  This Case?

Hindsight is always 20/20, so I'm not criticizing your  management of 
this case at all. Oversupply moms are more prone to  mastitis, so I'm 
usually cautious about this. I usually use Diane  Wiessinger's procedure 
for oversupply to gradually decrease milk supply.  First, I recommend 
that mom bf on one breast per feeding, unless baby  clearly wants more. 
Next, she feeds on one breast as many times as baby  wants during a 3 
hour period, and then uses the opposite breast for the  next 3 hours 
(unless the baby goes longer than 3 hours, then she uses the  breast 
whose "turn" it is, then uses the other breast for the next  feeding, 
whenever it is). Next, we stretch the time between switches to 4  hours, 
then 5, until mom and baby are comfortable.

If more help  than this is needed, then a little sage tea or tincture is 
also  helpful.
Catherine Watson Genna, IBCLC  NYC


 
 
 

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