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Lactation Information and Discussion <[log in to unmask]>
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Thu, 28 Jun 2001 16:48:24 -0600
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thank you for all of your input!  I will put my new knowledge in my head and
continue studying and hope nothing else falls out :)  Andrea
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 28, 2001 4:22 PM
Subject: [IBCLC2B] Re: HELP!!!


> To add a bit more...
>
> --- In IBCLC2B@y..., "andrea" <asbass@q...> wrote:
> > ok, Everytime I study, I wind up with more questions than
> answers!!  Is this normal?  here are the ones that left me  pulling
> my hair out.  Any answers would be greatly appreciated.  The more I
> study for the test, the less prepared I think I am.  Thank you in
> advance:)
> >
> >
> > 1.  What is primary engorgement? when does this occur and how long
> does it last?
>
> In addition to what everyone else has sent, I'd suggest also getting
> out Lawrence and Lawrence (5th ed., 1999). For instance, they
> imply/maybe outright discuss (and I strongly agree) that secondary
> engorgement (which I think to be "pathological" engorgement), can be
> secondary to primary engorgement. The new mother who feels a fullness
> or heaviness because her milk has "come in" is experiencing primary,
> or what the Lawrences also call "peripheral," engorgement. The poor
> thing who now has rocks to her collarbone definitely has progressed
> to a secondary (and pathological in my mind) engorgement due to
> massive congestion, milk stasis and edema. Some mothers seem to skip
> steps. (Gee, could overhydration with IV during labor contribute?)
> Rule #1 for this: Treat the edema first (RICE)! (I'm
> thinking "cabbage" vs. "compression" for the C.)
>
> With prompt treatment for edema and then frequent breast emptying via
> baby or good pump, I find it usually resolves within 8-24 hours. Once
> edema is slightly relieved and milk can get moving... Total of 48 for
> either kind with treatment IF treated promptly. L&L, p. 255-258
>
> >
> > 2. what is the difference between a  golatocele, mastitis, and a
> clogged duct?
> >
> > 3.  Is there a known etiology to a golactocele?
> >
>
> Again, see L&L, p. 273-274. I also heard a doc's theory that a
> galactocele may be more like an aneurysm, a natural or forced
> weakness/ballooning in a duct wall. Makes a lot of sense, but the
> exam won't include theoretical etiology.
>
> I also like the L&L discussion of noninfectious inflammation,
> sometimes referred to as an inflammatory mastitis, vs. infectious
> mastitis. Inflammatory mastitis often/usually precedes infectious
> mastitis. Although a plugged (blocked, clogged) duct may precede
> either type of mastitis, one can get a mastitis without it. BTW, L&L
> also have one of the best sections on recurring mastitis. (How do any
> IBCLC surviveithout this book!) L&L, p. 277-283
>
> > 4. what is the difference between a short tounge and a short
> lingual frenulum?  I am guessing the they both have about the same
> impact on the BF dyad, am I wrong to think this?
> >
>
> I've heard people refer to "short tongue" when in fact a baby had a
> tight lingual frenulum. In these cases, the frenulum does not
> necessarily extend to or near the tongue tip, but it has less
> elasticity and holds the tongue down to the floor of the mouth so the
> baby can't get good extension or peristalsis.
>
> Karen
>
>
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>

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