Falle,
Fissured, infected nipples greatly increase the risk for mastitis.
Verity Livingstone and L. Judy Stringer
The Treatment of Staphyloccocus Aureus Infected Sore Nipples: A
Randomized Comparative Study
J Hum Lact, Sep 1999; 15: 241 - 246.
Since maternal-infant separation and labor analgesia increase the risk
of incorrect sucking and incorrect sucking increases the risk of nipple
damage, fissured nipples are common in our culture.
Lennart Righard MD, Margaret O. Alade RN, BSC, MS (1992)
Sucking Technique and Its Effect on Success of Breastfeeding
Birth 19 (4), 185–189.
In addition, infants with ankyloglossia (tongue-tie) are poorly
recognized and if untreated triple the risk of weaning in the first week
of life.
Lori A. Ricke, Nancy J. Baker, Diane J. Madlon-Kay, and Terese A. DeFor
Newborn Tongue-tie: Prevalence and Effect on Breast-Feeding
J Am Board Fam Pract, Jan 2005; 18: 1 - 7.
Obviously we need to reform maternity practices and start treating
tongue-ties that cause breastfeeding difficulty. While we work on that,
there are other strategies that I have found helpful: give the baby
correct input for latch (skin to skin against mom's trunk for stability,
chin on breast, philtrum to nipple); allow the baby additional time to
bring his tongue down (don't push the baby toward the breast, if baby
does it himself, his tongue is more likely to be in the right place);
and if mom's nipples do become sore, encourage her to wash them with
mild soap and water twice a day to reduce the number of organisms that
could potentially travel up the ducts to cause mastitis.
The other risk factor for mastitis is overfull breasts or a plugged duct
that is not drained. They are also best prevented by helping to
calibrate moms milk production correctly and allow the baby unrestricted
access to the breast to promote good drainage.
Best wishes in your studies.
Catherine Watson Genna, IBCLC NYC
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]
|