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Subject:
From:
Kathy Eng <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 7 Mar 2007 08:30:51 -0600
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I am looking in the Breastfeeding Answer Book, pages 503 - 505. Some 
things that come to mind for this mother is to try lecithin (one 
tablespoon per day, or one tablespoon 3-4 times a day, or one to two 
capsules three or four times a day ---- these suggestions are listed by 
the sources they come from). I have known moms that used lecithin and it 
worked. Also suggested was eliminating saturated fats in mom's diet and 
taking the lecithin.

The BAB lists a bunch of other things like reducing sodium intake in 
case this is causing fluid retention which can make a woman susceptible 
to infections of any kind. Too little salt can also contribute to 
recurring mastitis. I know she said more plugged duct issues but some of 
these odd things are helpful.

If she has had mastitis over and over, she may have something that is 
resistant and is not clearing up. She may not be finishing all her 
antibiotics. I have had women without fever and with persistent plugged 
ducts find relief after going on antibiotics. The BAB suggests mom be 
checked by her doctor if the lump doesn't respond within several days to 
the usual treatment for mastitis.

Depending on how much she is pumping and with what machine, I would 
encourage this mom to gradually cut back on the pumping once she is over 
this situation. So many moms overly pump with the good electric double 
pumps and I think they cause over supply problems. There is good 
information in the BAB about using birth control pills, sage, or 
antihistimines to lower supply. I encourage moms with oversupply to use 
hand expression or a manual pump and just do it a little bit to comfort.

Lastly, I have read that massaging the plugged duct area before nursing 
or pumping is helpful. I have read massaging in front of the plug where 
you would imagine it would drain out to the nipple and that seems to 
make sense to me.

Kathy Eng, BSW, IBCLC
.

 

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