Hi Jean,
In our quest for the 'right' treatment for engorgement, we have to keep in mind that some of our moms come from cultures in which application of cold to a newly delivered mom is considered not OK -- or even harmful.
Martha Johnson 

-----Original Message-----
From: Kermaline Cotterman [mailto:[log in to unmask]]
Sent: Saturday, September 03, 2005 12:05 PM
To: Johnson, Martha (Lactation-SHMC)
Subject: Some cons for cold



Contra indications of using contrast baths


*	Check a person's general sensitivity to ice - some people find the application of cold immediately painful 

*	Always check skin sensitivity before applying ice - if a person cannot feel touch before applying ice, this may indicate other problems such as nerve impingement. In such instances ice would only serve to mask this and complicate the problem. 

*	Do not apply cold to someone with high blood pressure as vasoconstriction will increase the pressure within the vessels. 

*	Do not use contrast baths with someone who has circulatory problems 

*	Do not use contrast baths if the skin is sore or broken in the injured area 

 
 
(Wouldn't want to trigger possibilty of Raynaud's I suppose! Though I think this is probably remote in the early days, unless someone has a Hx of it.)


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