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Unrelieved Engorgement

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Thanks for all the tips (and feel free to keep them coming)!

 

I'll talk with mom about the lymph drainage and MER.  And Fay, thanks for at least an anecdotal positive result.  I've been second guessing/kicking myself for not doing my typical 24h follow-up.  She seemed to be getting such positive results from RPS that I mistakenly thought no news was good news. :(

 

And , I've never heard of kineseotape.  Can you enlighten me?

 

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First thing I thought of was that it's not engorgement at all but edema.  Some moms react to pitocin in a way that causes them to hold onto every drop of fluid they get; it messes with the hormone vasopressin.  Ask the mom if her feet are more swollen now than when she went into the hospital, because that's usually the big clue.  If it is, then she's full of fluid, not milk.  I remember reading someone calling it, " The milk is in her ankles, " because once the edema is passed, her milk flows.

 

I'd suggest lots of natural diuretic foods like asparagus, cucumbers, watermelon, parsley, maybe even some dandelion tea, if she can tolerate the flavor.  Most moms resolve by about a week, but some do take a full 14 days.  Meanwhile the key is frequent stimulation with very, very light suction, just to keep the prolactin flowing so her receptors don't shut down prematurely.

 

If it's indeed engorgement -- which makes no sense that it would continue this long -- try reverse pressure softening prior to pumping, then keeping the pump at the very lowest suction setting with fast speed.  The Symphony is perfect for this.  Just keep hitting the " let-down " button on the front as soon as the pump tries to go to the expression mode, to keep it in the stimulation mode.

 

HTH,

 

Debbie Gillespie, IBCLC

Hot & Sunny Tempe, AZ

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I am not but I will quickly reply about Kineseotape…It looks and acts like a roll of medical tape but it has stretch to it, so you can use it to hold and pull tissue one way or another. Chiropractors, PTs, etc use it to help stabilize and correct imbalances, fasical issues, add support, etc. Note of caution, it can be used incorrectly! For example if the pull of the tape is not done right, it can have the opposite effect so it is not to be used without knowing what you are doing. Hopefully will post more about how she uses the tape for engorgement (to direct lymph drainage to the axillary nodes, I believe?). Cole

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