Dear readers,

I don't write here often, but this time I want to react, also with my "hat" 
President-Elect of ABM.
Thank you so much for the feedback on this Protocol. We already heared many 
comments in this direction and we have made a few adaptations in the 
process of writing and publishing a Protocol.
This said, I want also make a few additional comments:
1. The theme of Mastitis is highly complex and it also shows that we have 
too few sound medical research in this field. For me it shows how women's 
themes are forgotten in medicine. Google on scholar "mastitis" and 
"prostatitis" and you see the discrepancy. Most of what we have is not of 
good quality.
2. I personally see it as a big jigsaw puzzle where many pieces are 
lacking. Each of us tries to see the complete picture although so much is 
still not fitting in, and recognizes the best what they see in their 
practices. So it is possible that a surgeon from USA sees some different 
pieces/motives as a family physician from Australia or an internist from 
Portugal.
3. All Protocols of ABM are written and reviewed in the free time of the 
authors and reviewers, after a (mostly) very busy daytime job as physician, 
without any funding. It is sometimes very difficult to find writers and 
reviewers from around the globe, from different specialties, to review. And 
since the communication is also sometimes difficult, because of time zones 
and language and cultural diversity, it is difficult, when not impossible, 
to write "the" correct protocol, especially on a complex theme.
4. This is also why all Protocols will be reviewed every five years.
5. How will we work in pracrice? Well: when we did bring together one of 
the authors of the Protocol, Anne Eglash, USA, with one of the authors of a 
commentary, Monica Pina, Portugal, and with the author of this article, Pam 
Douglas, Australia, at the 8th ABM /EABM European Breastfeeding Conference 
in Split, Croatia (May 2023), it was clear that there were different 
opinions, but also much common ground. So we brought again together these 
three authors for a discussion of three clinical cases, to exactly address 
the problem of how to work clinically with mastitis. You will find this 
webinar still in the educational centre of ABM under:
<https://abm.mclms.net/en/package/13047/course/24416/view> fir 25 dollars. 
If you are not a member of ABM you have to create an account but this is 
free.
I hope this helps in giving more background on protocols in general, this 
special protocol, the authors, the critics and the way we are proceeding in 
finding solutions for the big clinical issue of mastitis.
I apologize for the long post, but I was not able to write it shorter 😉.
Elien Rouw, MD, FABM
Bühl, Germany


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Betreff: LACTNET Digest - 6 Sep 2023 to 7 Sep 2023 (#2023-61)
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There is 1 message totaling 61 lines in this issue.

Topics of the day:

1. More on the ABM #36 Mastitis Protocol

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Date: Thu, 7 Sep 2023 17:05:33 +0000
From: Anna Swisher <[log in to unmask] <mailto:[log in to unmask]> >
Subject: Re: More on the ABM #36 Mastitis Protocol



Thank you for sharing this, Pamela. I read it cover to cover and it's 
fascinating.
While this is being thrashed out, I would treasure insights on how best to 
support families in the meantime.

Inquiring minds....
Anna SwisherTexas, USA
Date:    Wed, 6 Sep 2023 10:24:51 +0100
From:    Pamela Morrison <[log in to unmask]
<mailto:[log in to unmask]> >
Subject: More on the ABM #36 Mastitis Protocol

Of interest to Lactnetters?  A commentary by Pam Douglas published by IBJ
on the controversial ABM #36 Mastitis protocol, see
<https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-023-00588-8>


Pamela Morrison
IBCLC Retired, Rustington, England

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