Current Resources for Evidence‐Based Practice, January/February 2020

Barger, Mary K.

doi:10.1111/jmwh.13079

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Unfortunately, despite these findings, Anderson 124 states that referral to ‘a health professional experienced in breast massage’ is an additional treatment option for breastfeeding problems. Barger, 125 however, in a review of the Anderson study, calls for ‘improved understanding of the physiologic functioning of fluid dynamics both in the blood vessels and lymphatics of the breast, which would help in understanding the rationale for different kinds of techniques’. Of the six studies included in the systematic review by Anderson et al, three were randomized controlled trials (RCTs). The Oketani study did not describe method of randomization.…”

Section: Therapeutic Breast Massage or Manual Lymphatic Drainage Do N...mentioning

confidence: 99%

Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management

Douglas

2022

Womens Health (Lond Engl)

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Despite the known benefits of breastfeeding for both infant and mother, clinical support for problems such as benign inflammation of the lactating breast remain a research frontier. Breast pain associated with inflammation is a common reason for premature weaning. Multiple diagnoses are used for benign inflammatory conditions of the lactating breast which lack agreed or evidence-based aetiology, definitions, and treatment. This article is the second in a three-part series. This second review analyses the heterogeneous research literature concerning benign lactation-related breast inflammation from the perspectives of the mechanobiological model and complexity science, to re-think classification, prevention, and management of lactation-related breast inflammation. Benign lactation-related breast inflammation is a spectrum condition, either localized or generalized. Acute benign lactation-related breast inflammation includes engorgement and the commonly used but poorly defined diagnoses of blocked ducts, phlegmon, mammary candidiasis, subacute mastitis, and mastitis. End-stage (non-malignant) lactation-related breast inflammation presents as the active inflammations of abscess, fistula, and septicaemia, and the inactive condition of a galactocoele. The first preventive or management principle of breast inflammation is avoidance of excessively high intra-alveolar and intra-ductal pressures, which prevents strain and rupture of a critical mass of lactocyte tight junctions. This is achieved by frequent and flexible milk removal. The second preventive or management principle is elimination of the mechanical forces which result in high intra-alveolar pressures. This requires elimination of conflicting vectors of force upon the nipple and breast tissue during milk removal; avoidance of focussed external pressure applied to the breast, including avoidance of lump massage or vibration; and avoidance of other prolonged external pressures upon the breast. Three other key preventive or management principles are discussed. Conservative management is expected to be effective for most, once recommendations to massage or vibrate out lumps, which worsen micro-vascular trauma and inflammation, are ceased.

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Section: Therapeutic Breast Massage or Manual Lymphatic Drainage Do N...mentioning

confidence: 99%

Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management

Douglas

2022

Womens Health (Lond Engl)

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“…Secondly, information on the part of the plant used, its purity, and preparation is mostly lacking in studies. Thirdly, there is an array of methods to measure the outcome of milk production, a fact I identified in a prior review on the use of breast massage to decrease engorgement and improve availability of milk 18 . Also, only one study examined the proportion of participants doing any or exclusive breastfeeding at 1, 3, and 6 months—presumably the ultimate reason for addressing any low milk production.…”

Section: Discussionmentioning

confidence: 99%

Current Resources for Evidence‐Based Practice, September/October 2020

Barger

2020

J Midwife Womens Health

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“…This meta‐analysis updates a 2015 Cochrane systematic review 12 of multiple methods to prevent mastitis. In that review, breast massage was also found to possibly be helpful in preventing mastitis, and a critique of a 2019 systematic review on the topic of breast massage in preventing mastitis 13 was published in this journal in January 2020 14 . Nipple pain and fatigue are 2 risk factors for breastfeeding cessation 15 and are also 2 risk factors for mastitis 1,3 .…”

Section: Featured Reviewmentioning

confidence: 99%

“…In that review, breast massage was also found to possibly be helpful in preventing mastitis, and a critique of a 2019 systematic review on the topic of breast massage in preventing mastitis 13 was published in this journal in January 2020. 14 Nipple pain and fatigue are 2 risk factors for breastfeeding cessation 15 and are also 2 risk factors for mastitis. 1,3 Therefore, midwives are well placed to provide anticipatory guidance to new parents.…”

Section: Referencesmentioning

confidence: 99%