In our practice we don't see moms very often with mastitis in the office,
mostly they are taken care of over the phone and it resolves.  We recently
had an admission to the hospital of a severe case, one that had not contacted
us.  Our treatment usually has cabbage leaves and ice, along with the
attachment correction and removal of milk with baby or pump.  We don't use
warmth hardly at all anymore.  If it is used it is only for a short time,
immediately prior to a pumping/feeding, not for long periods.  However, most
all the literature list it as a first step.  How many of you use it first?
We find the ice/cabbage leaves tx reduces the edema and inflammation so much
quicker to help with the milk removal.  Soooo, what is everyone else doing?
If ice/cabbage tx works best, how much longer until it gets into the books so
others can use it as reference?  Thanks,
Evonne Davison RN, IBCLC

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