Jennifer Peterson
> On Aug 21, 2019, at 9:00 PM, LACTNET automatic digest system <[log in to unmask]> wrote:
>
> There are 3 messages totaling 185 lines in this issue.
>
> Topics of the day:
>
> 1. Milk blebs, blisters, what are they?
> 2. Multi-User pumps in worksite lactation rooms
> 3. Flange size help
>
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> ----------------------------------------------------------------------
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> Date: Wed, 21 Aug 2019 11:19:28 +0200
> From: Carmela Baeza <[log in to unmask]>
> Subject: Milk blebs, blisters, what are they?
>
> Hi all,
>
> In the Spainsh version of Lactnet there are a couple fo cases being
> discussed, breastfeeding women with long-standing milk blebs.
> I´d like to ask, are there any good scientific articles about the
> composition and types of milk blebs? I can´t find anything beyond basic
> assumptions and typical management (suckling, hand expression, warm salty
> soak,mechanical removal, topical antibiotic).
>
> I think people call anything that is white or yellow on the tip of a nipple
> a milk bleb - but this does not make sense.
>
> Sometimes blebs are crusty and white, sometimes they are adipose yellow,
> sometimes they are on the nipple, sometimes they are subcutaneous.
> Sometimes milk flows out when you scrape the bleb, sometimes you have to
> express and fat comes out, sometimes blood, sometimes it´s easy to remove,
> sometimes it´s impossible, some get better with topical antibiotic, some
> don´t need any... to me this sounds like there are diferent types of bleb
> compositions and locations...
>
> Any science to any of this???
>
>
> --
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> ------------------------------
>
> Date: Wed, 21 Aug 2019 10:15:25 -0500
> From: Allison Laverty Montag <[log in to unmask]>
> Subject: Multi-User pumps in worksite lactation rooms
>
> Hello Breastfeeding Supporters!
>
> Through Public Health, we are working on Breastfeeding Friendly Worksites.
> I am wondering what current trends are as far as companies providing a
> multi-user pump in their lactation rooms. With so many mothers receiving
> pumps (many of questionable quality!) through their health insurance, are
> you seeing companies providing a multi-user pump or do they expect mothers
> to bring their own pump?
>
> If you were to suggest a multi-user pump to a company, which would it be?
> (I am reluctant to promote one pump over another in this forum. If you
> would prefer to contact me off list, I understand!)
>
> Thanks,
> Allison
>
> Allison Laverty Montag BA, RLC, IBCLC
> Wisconsin
>
> --
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> "Our doubts are traitors and make us lose the good we often might win, by
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> Measure for Measure
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> ------------------------------
>
> Date: Wed, 21 Aug 2019 12:42:26 -0400
> From: Theresa Moutafis <[log in to unmask]>
> Subject: Flange size help
>
> Hi everyone! If anyone has any insight here, I'd very much appreciate it.
> I'm seeing a mom who has numerous issues, but our most immediate is getting
> the right size flange fit. She is able to pump 2.5-5 depending on the time
> of day. Had a clog last week that resolved. Pumping has been
> painful/uncomfortable. She uses a very low suction (2-3 on the Spectra; she
> cannot go above a 5 due to pain) and has found some relief using Pumpin
> Pals flanges versus the Spectra ones. She tried the Willow, but their
> largest size was too tight. Pumpin Pals large is the best fit so far, but
> her nipple is still filling the flange and is rubbing the sides to the
> point of discomfort. Any thoughts/suggestions? She could still try the
> Spectra 32 mm but that seems like our only option left, unless there are
> some other options I am not aware of.
>
> I can send pictures to whoever who like to take a look, but I don't believe
> I can attach them to the list.
>
> PTP from mom.
>
> --
> Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
> Nutrition and Wellness Consultant
> Lactation Consultant
> (315) 730-1858
> [log in to unmask]
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> ------------------------------
>
> End of LACTNET Digest - 19 Aug 2019 to 21 Aug 2019 (#2019-199)
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