I would recommend she take lecithin 1200 mg 4 times a day to prevent plugs, and decreasing her oversupply. Once she has not had a plug for 2 months, she could try and gradually decrease. (3 times a day for a month....2 times a day for a month) If she gets a plug, go back up to 4 times a day and stay there until weaning.
Kathy Leeper, MD, FAAP, IBCLC, FABM
Breastfeeding Medicine Specialist - Leawood, KS
MilkWorks breastfeeding center - www.milkworks.org<http://www.milkworks.org/> - Lincoln, NE
Milk Mob Board Member/Trainer – www.themilkmob.org<http://www.milkmob.org/>
Creating a healthier community by helping mothers breastfeed their babies....
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From: Lactation Information and Discussion <[log in to unmask]> on behalf of LACTNET automatic digest system <[log in to unmask]>
Sent: Tuesday, November 28, 2017 11:00 PM
To: [log in to unmask]
Subject: LACTNET Digest - 27 Nov 2017 to 28 Nov 2017 (#2017-88)
There are 2 messages totaling 89 lines in this issue.
Topics of the day:
1. Breastfeeding Friendly in different languages
2. frequent mastitis
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Date: Tue, 28 Nov 2017 15:53:42 +0100
From: Kika Baeza <[log in to unmask]>
Subject: Breastfeeding Friendly in different languages
Hi!
I am working on a presentation and wanted to make a slide with
Breastfeeding Friendly Hospital Iniciative logos from different countries,
not just USA or Spain (my country). I haven´t had much luck with Google and
its translations.
Can those of you from outside the USA tell me what the Breastfeeding
Friendly Hospital Iniciative is called (in your own language)? That way I
can search for the logos.
Thank you!
Kika
--
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com<http://www.centroraices.com>
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>
Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html
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Date: Tue, 28 Nov 2017 13:50:32 -0500
From: Leslie Cree <[log in to unmask]>
Subject: frequent mastitis
Hi all! PTP. Saw a mom today who is nursing baby #2. Baby is 7 weeks old and she is on her 3rd bout of mastitis. She also said she had mastitis "everyone other month" with her first child, (now 2 y/o) who weaned at 15 months. Mastitis is bilateral, comes on with very little warning, has occurred in all four quadrants randomly, and has not responded to antibiotic treatment. Her baby is gaining above average (checked for lip & tongue ties, referring to our local preferred provider), infant has a high palate, shallow gag and pops on and off the breast. Mother has abundant milk, said she thought that her problems related to a forceful letdown, but during our exam today we agreed that her letdown is normal. I referred her to her OB provider for a thorough exam as well. We worked on alternate positions, mother has become very proficient at hand expression and breast massage. . Her nipples are normal, with no blanching or compression after feeds. She said she has never had any nipple injury, even in the early days of breastfeeding. She has history of irregular menses and ovarian cyst, per her prenatal chart "Her pregnancy was conceived normally. This pregnancy was planned. Vegetarian, does eat seafood." She is an office manager, her husband is a veterinary technician. Prenatal labs Hgb and Hct slightly below normal. Your guidance and wisdom would be greatly appreciated. Thanks!! Leslie
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End of LACTNET Digest - 27 Nov 2017 to 28 Nov 2017 (#2017-88)
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