Hi, Lee (and Jan):  I've been doing breasts for 25 years now and up until a 
few years ago was lucky(?) if I saw a mastitis every couple of years.  
Nowadays, I'm seeing a couple of masitises a week!  I am directly 
attributing this phenomenon to the improved pump technology and the 
affordability of the better pumps in recent years.  Anyone in other 
countries where pump use is not as rampant care to share their 
observations?  Is this uniquely a US experience?
It's very possible that the combination of fluid overload (after all, birth 
practices have changed dramatically in recent years!) and unnecessary 
pumping have contributed to this phenomenon.  Could it be that a mom starts 
out with an "oversupply" because of edamatous tissues caused by fluid 
overload and then continues this "oversupply" because of unnecessary 
pumping?

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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