:-) Sorting through my partially (very partially) organized filing
system, I found the article I vaguely remembered when posting last week:

Evans K, Evans R, Simmer K. < Effect of the method of breastfeediong on
breast engorgement, mastitis and infantile colic. Acta Paedeatr 1995;
84:849-52

Abstract
This exploratory study compared the effect of two methods of
breastfeeding on breast engorgement, mastitis, infantile colic and
duration of breastfeeding. An opportunity sample of subjects was assigned
either to the experimental group (prolonged emptying of one breast at
each feed (n=150) or to the control group (both breasts equally drained
at each feed) (n=152) and both groups were followed prospectively to 6
months after delivery. The experimental group had a lower incidence of
breast engorgement in the first week (61.4% versus 74.3%;p<0.02) and
colic over the first 6 months (12% versus 23.4%;p<0.02). There was no
significant difference between the two groups in the incidence of
mastitis over 6 months and the length of breastfeeding (16.5% +-10.3
weels versus 17.5+- 10 weeks experimental versus control group). The
majority of mothers in the experimental group (63%) felt it necessary to
offer the second breast at the end of a feed to satisfy their infant's
hunger. The "perceived insufficient milk supply syndrome" was the main
reason given for cessation of breastfeeding in both groups. This study
provides data to advise nursing mothers about these two methods of
breastfeeding. K. Evans, Department of Nursing (ward 4c), Flinders
Medical Centre, Bedofrd Pard, South Australia 5042, Australia.

Jean
*********
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio

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