Hilary mentions:
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Whilst on an international breastfeeding course last summer, a Japanese
midwife/LC demonstrated a method of breast massage. She told us Japanese
women have small, firm, immobile breasts that are tethered to the chest
wall. I think I'm right in saying the massage helps to soften and release
the breast and encourages good lactation and drainage. The willing
volunteer, who was feeding a one year-old, layed on her back on a table and
soon there was a fountain of milk shooting high into the air! Apparently it
takes a year to learn this technique, which is only taught in Japan, I may
be wrong here - that's what I remember.
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It is called the Oketani Manual Technique of Breast Treatment.  I have a book
on it that was translated into English.  I can believe that it takes a year
to learn.  It's very complex.  For what it is worth, there isn't a lactiferous
sinus to be seen in any of their line drawings....just lactiferous ducts!!
This book was published (in English) in 1992.

Jan Barger, RN, MA, IBCLC
Wheaton IL
www.lactationeducationconsultants.com

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