Hi Ann,
I may coming into a thread that's already received some discussion, as I'm
finding some time today to read LACTNET after having been off of it for a
while. And, I'm sure my suggestions below are ones you've already
suggested for this mom. But just in case there's something here that
hasn't been tried, here goes:
-at the first sign of a plugged duct or plugged area, immediately begin
massaging area with warm/moist compress (washcloth wrung out in as hot of
water as mom can stand to touch works well). Continue this massaging w/the
compress day and night, *especially* when baby is nursing from that
side. Frequently re-wet washcloth (compress) in warm/hot water. Again, do
this throughout the day and night; whenever possible, mom can be gently
massaging the area with moist heat.
- switch baby's position at breast so, as much as possible, baby's lower
jaw is below the affected area
- nurse on "all 4's" (that is, baby on ground on back looking up and mom
kneeling over baby with breasts hanging down)
- investigate all possible contributors to the plugged ducts (frontpacks,
backpacks, purses, bras, sports tops, bathing suits, sleeping positions,
how baby is carried near chest, use of breast pump, holding off feedings,
limiting feedings, pacifier use; I'm sure others can contribute other
potential reasons)
~Dianne Oliver, IBCLC
Simi Valley, CA
>Date: Wed, 26 Jul 2006 11:30:08 EDT
>From: Ann Conlon-Smith <[log in to unmask]>
>Subject: HELP before she weans
>
>Oh dear -- I am still working with my very
>intelligent-willing-to-do-anything to make breastfeeding work mother of
>two month old. She has had it and is
>in tears and wants to wean today and I am running dry with ideas.
>Previously, fibrocystic breasts and with breastfeeding experiencing
>repeated bouts of
>plugged ducts and at times, real difficulty nursing or pumping to dissolve
>them. Now, she also has been battling thrush which she thought might be the
>answer to why she had all these ducts, but Diflucan, etc. has begun to
>clear
>the thrush but the plugged ducts continue to reappear and cause pain and
>limited milk flow. In desperation, she returned to her doc this morning
>but alas,
>all was clear and doc said all was fine. Now, she has returned home and all
>ducts are plugged again and she is sobbing. She has opened a few blebs
>this
>week as well. She has been on Lecithin, several homeopathic remedies,
>vitamins, changing positions, dunking breasts into warm water, massaging,
>etc. She
>has just called me and wants to wean TODAY as she says she cannot take this
>anymore and I hear her loud and clear. I am awaiting a call from Mary Rose
>Tully to see if she can see her today, but in the meantime, HELP with any
>ideas
> to keep this mom going. I cannot imagine where we would begin weaning
> with
>her extreme sensitivity to engorgement and plugged ducts. Thanks, Ann
>
>Ann Conlon-Smith, IBCLC
>Triangle Lactation Consultants
>_www.trianglelactation.com_ (http://www.trianglelactation.com/)
>
______________________
Holistic Lactation
www.holisticlactation.com
805-582-2058
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