In a message dated 8/28/2003 12:22:29 PM Eastern Daylight Time,
[log in to unmask] writes:

> Kathy Leeper, MD, IBCLC wrote:
>
> "I have seen several moms lately who received a lot of IV fluids and
> pitocin, who present with no milk at 5-6 days and are retaining a lot
> of fluid.(huge ankles) They appear engorged, but no milk is removed.
> Has anyone seen a diuretic used in this situation??  My theory
> being that the diffuse swelling includes the interstitial tissue of the
> breast, and the increased pressure inhibits lactogenesis."
>

not seen pharm diuretic used, but is an interesting idea. Which one might be
best choice?

PP I *routinely* suggest for mom oral hydration, avoid/minimize NA intake,
diuretic type foods & walking, ....and use/teach ac breast massage,  & w/fdg
massage and compression to encourage colostrum breastmilk flow through that
swollen breast tissue to facilitate baby intake.

Debbie Tobin
RN BSN IBCLC LCCE
<A HREF="http://hometown.aol.com/lcagw2000/lcagwcover.html">LCAGW</A> Co-VP
Springfield, Virginia USA
In the Fairfax County suburbs outside the Washington DC beltway

<A HREF="www.BestBreastfeeding.Info">www.BestBreastfeeding.Info</A>



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