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Subject:
From:
Liz Brooks <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 30 May 2006 16:53:46 -0400
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I am on another list where recurrent plugs/mastitis-near-misses were 
recently discussed.  Diane DiSandro has given me permission to share with 
all of you her interesting post, which is below.

I hereby officially dub this the Diane DiSandro Breast Kneading Technique.

Now, to her message:


I developed this years ago when working with a 6 wk postpartum mom who was 
starting her 3rd course of antibiotics for mastitis.  Her mother and sister 
had similar problems...and this mom wanted to wean, but couldn't even 
accomplish that without mastitis.  Nothing was working.

I imagined what would happen if there were a fibroid cyst or some other 
structural anomaly lying on a milk duct, and repeatedly not allowing it to 
drain properly.  No matter how well we drained and treated it, the problem 
would just keep happening.

So...instead of massaging the breast as usual (outer in towards nipple), I 
had the mom imagine that her breast was a bag of marbles.  She was to pick 
up the breast and "knead" it, or rather "mush" it around.

Place the heels of your hands at the outer edge of breast (around 3 and 9 
o'clock).  Fingertips up slightly interlacing over the nipple.  Now, knead 
IN with your fingertips and also knead with your palms and thumbs.  (Are you 
doing it?)

The idea is to move each little marble a millimeter or so to the left or 
right.  Just a slight shift, since we can't really move them.

Do this 3-4x per day.  In the morning shower, at lunchtime, dinnertime, 
bedtime.  Just move those little cysts (or whatever) a little bit, and 
later, move them somewhere else a bit.  At least that was my idea.

This mom went on to breastfeed for 2 1/2 years with no other mastitis.  
Until her 2nd child was 8 days old.  She called me in a panic and asked what 
it was that we had done.  We averted that mastitis, and she never got it 
again.  Her sister also nursed her 4th child (after suffering from recurrent 
mastitis and 2 abscesses with the other children) with no problems.

I have used this technique with too many moms to count over the years now.  
It really works well when everything else has been addressed and the 
recurrent plugs or mastitis continue.

--Diane DiSandro IBCLC

Back to Liz now.  Diane would love feedback from anyone who tries this.  She 
is not on Lactnet regularly, but if you post to me or to Lactnet, I will 
pass along your comments.


Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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