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