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Sun, 28 Aug 2005 09:14:27 EDT |
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Karen,
Re your post about mom of twins with low milk supply and possible nipple
blebs, some thoughts. Has she tried more intense treatment of blebs/plugged
ducts? The thought occurred to me that there has been little direct contact of
nipple to mouth or any "lubrication" of nipple. (you mentioned nipple shield
use when babies breastfeed about 4x/day; I understand rationale.). I wonder if
using BF Atlas suggestion of cotton ball soaked with olive oil worn over
nipple in between feeds/pumping, castor oil massaged into ropey areas of breast (s)
with heat application several times per day, and some direct nursing without
shield could be tried? Soaking breast in a cup or bowl of warm water or
chamomile tea (chamomile has anti inflammatory properties) with gentle massage has
helped moms I've worked with when ducts plugged/nipple blebs.
You also mentioned this mom not being able to go on domperidone; how about
herbal galactagogues? In this regard, a mom I'm working with re supply issues
tried rasberry leaf tincture on her own for letdown with good results and when
I posted on the herbal bf site recently someone suggested fennel for letdown.
Mom is lucky to have someone like you to give her support and work overtime
to help her.
Barbara Latterner, BSN, RN, IBCLC
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