Scenario: Elizabeth, a lactation consultant in private practice, is frustrated when a woman returns with persistent plugged ducts. She often sees women around 3 to 6 weeks and again around 4 months postpartum, with a combination of symptoms including white blebs at the tip of the nipple and abundant milk supplies. Often she works with them to clear up the plugged ducts, only to find them back under times of stress, when other children are sick or during the holidays, on the brink of mastitis. Elizabeth would like better indicators to help identify the risk factors for recurrent plugged ducts and suggestions for ways to work with women in their treatment to avoid other complications. She has heard about the use of alternative therapies, possibly even ultrasound, but is unsure of the scientific efficacy of these treatments. – [An invited response follows].
Available at: http://works.bepress.com/suzanne_campbell27/5/