Great post by Christine in response to Jackie's Mom with recurrent mastitis! If Ok with you Christine, I'd like to compile your ideas and post in our hospital's outpatient lactation clinic? Christine DID mention exploring mechanical issues. Along that vein I would emphasize the potential role of over production. Jackie doesn't detail in this case, but I sometimes find that these Moms are either chronic overproducers from the beginning or that they have added overproduction into the mix of contributing variables since the first bout by focusing on our treatment dictum of "emptying the affected breast as well as possible". Because they worry if the breast isn't "drained" at each feed, the accelerated pumping can quickly turn a good producer into an overproducer. Lynn Shea Rn,Bsn,Ibclc Franklin,Massachusetts *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html