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Date: | Sun, 17 Jul 2005 07:58:01 -0500 |
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I find that sage is the best anti-galactogogue. I recommend 1/4 teaspoon
of ground sage 3 times a day until the supply is acceptable. The mother can
sprinkle it onto the tiny corner of a sandwich that she can swallow without
chewing and follow it with some juice. A few of my clients find that sage
sprinkled on a hummus sandwich tastes fine without disguising it. Others
have bought empty gelatin capsules to put the sage into. It has worked in
some of the toughest cases at newborn or later, including when a mother
needs/wants to wean.
The cabbage leaf treatment offers relief for engorgement but I have not
seen it to reduce a milk supply. It is my opinion, after using it widely
in my practice, that it draws out edema from tissue but neither milk from
ducts nor blood from veins in a swollen ankle. Mismanagement of
engorgement/milk stasis however can surely reduce a milk supply. Many of my
clients are warned in the hospital to not use cabbage leaves for
engorgement because it will diminish the milk supply. This warning is
given along with "Don't ever wake a sleeping baby" and "A bottle of formula
will be fine at night so that you can get some sleep" and other such common
discharge teachings.
As soon as there was question by LCs about cabbage leaf treatment and
supply the word spread quickly in hospitals in my area. Too bad other
breastfeeding management protocols were not embraced as rapidly.
Patricia Gima, IBCLC
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