Diane, you wrote:

<I have encounted a case of antenatal bilateral mastitis, . . . . . .  She has never had a temperature! her breasts are very oedemitist,  very heavy feeling, and hot to touch, in an endeavor to obtain some colostrum to check for a micro-organism, her pain increased substantially, despite my best efforts of not putting undue pressure on them. We abandoned that idea.I had done RPS prior. . . . . . . .>


In regard to the use of reverse pressure softening, as a reminder:

"I strongly caution against its use in cases in which there is any suspicion of a
plugged duct or frank mastitis symptoms without further research evidence on 
soft tissue massage in the treatment of these conditions."


Cotterman KJ, Reverse Pressure Softening: A Simple Tool to Prepare Areola for Easier Latching During Engorgement, Journal of Human Lactation, May 2004, vol. 20, iss. 2, p. 235. 


I want to encourage everyone to remember that point, and to spread the word to your colleagues. In mastitis there is always a potential danger of an undiagnosed abcess in the early process of formation, and one should take no chances on causing a rupture and/or further complications.


K.Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC    Dayton OH 

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