Re: Things are getting worse
with the PP. Mastitis is a real possibility, so stay alert for the following:
- aches, pains, malaise, flu-like feeling
- red spot or streaks on the skin of the breast
- plugged duct
- extremely tender or painful breast
If you see any or all of those, call the doc and get a scrip for antibiotics. Please note that many doctors mistakenly advise that mothers pump and dump or even wean during mastitis, or during a course of antibiotics. This is not necessary, and if you are prescribed an antibiotic that "isn't safe for nursing", check with the Infant Risk center or request a different antibiotic.
Since you have so many indicators of oversupply (engorgement, spraying, leaking), then I think you need to treat this like oversupply. First, make sure there's no mastitis in the picture. If there is, then:
- see the doc
- empty the breast as much as possible using the baby or the pump
- finish all your antibiotics (if you end up taking them)
If there's no mastitis or if there is but you beat it, then you want to work on reducing supply by:
- feeding the baby frequently
- avoiding the pump
- block feeding (using one breast per feeding for several feedings in a row)
- drink a cup or sage or peppermint tea to reduce supply
- use cold cabbage leaves in your bra
- watch baby's diaper output during the block feeding process- as long as it stays normal then you haven't reduced supply too much
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