I'm trying to help a mother who since her second baby was born 3 weeks ago
has been struggling with oversupply. Full drainage gave immediate relief
but she was already very sore as baby was tongue-tied and holidays delayed
getting that fixed. Baby gained well despite ineffective feeding because
mother was producing buckets from day 3; after frenotomy baby feeds well
and sores are healed. At one week she had ramoant mastitis, started
antibiotic treatment as clinically she was very ill. Cultures from sores
and from milk were positive for S.aureus and Group B strep, but antibiotic
covered both. During mastitis she drained both breasts at least 8 times/24
hours. Drinking sage tea, one cup per day divided in three doses, have not
seen any noticeable effect but we don't know how much she would be
producing without it.

Throughout this time, she has had deep burning pain in both breasts,
worsening immediately after feeds, and peaking an hour or two later, not
totally subsiding in time for next feed or expression. Heat applied to
breasts after feeding/expressing gives little relief. The only time she was
pain-free was the first time she tried full drainage and block feeding,
when baby was five days old. Normally I don't recommend this method so
early but her history of extreme oversupply with first baby made us think
there was little to lose. Now I am not sure.

The mastitis has been treated, but she still has the pain, and the
oversupply. We are trying block feeding again, cautiously, but after less
than 24 hours her breasts are tense, overfilled - and PAINFUL. She is
exhausted besides. Wants very much to continue breastfeeding but also wants
this long drawn-out painful stuff to stop.

I am not sure what to try next. We are open to all suggestions.

Rachel Myr
Norway

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