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From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 20 Feb 2003 23:56:23 +0000
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Ann
We have discussed a few cases before, might get some ideas in archives. I
would not advise expressing/pumping, but instead would suggest cold,
especially underarms and maybe even cabbage if she's really uncomfortable. I
usually suggest lying supine to 'elevate' the breasts to decrease the edema
(in other words not keeping the breasts dependent); not sure if she can do
this comfortably, safely at this stage of pregnancy. Maybe just for short
periods. Might this episode of engorgement and leaking be a sign of
impending (preterm) labor? Might this indicate some kind of placental
separation (knowing the hormonal changes that precipitate lactogenesis)?
Even a very small tear? Is she at risk for any of this? Just some random
thoughts.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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