Gillian asks for suggestions for the mother described in her post of 23
July.
I'd agree with your idea, Gillian: feed from the unaffected side and wait
for the fistula to heal, relactate if desired thereafter.  If she does
continue to feed from both sides she can expect to leak until such time as
the fistula and surgical wound heal, and it may take longer, but eventually
they usually do heal without complications.  It's just that everything is
constantly damp from leaked milk and that can be pretty inconvenient.
Do you think the tongue-tie is implicated in the mastitis, through
ineffective suckling?  If baby is growing well, it sounds as though the
suckling has been effective enough, but this mother seems to have more than
enough milk, so perhaps that is what the baby is coasting on.  Also, if
there was a lump in her breast independent of what is going on with baby, it
could be the cause of mastitis through obstruction.  If the tongue-tie has
contributed to mother's breast problems, perhaps it is worth clipping it
even though at this age it could be a more disturbing intervention than it
would have been shortly after birth.

just my 30 ml!
Rachel Myr
Kristiansand, Norway

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html