Re: breastfeeding/cabbage

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Fri Jan 19 20:54:50 2001


It has always seemed to me that the likely explanation of why cabbage leaves work to relieve engorgement is that in some way (by cooling, or perhaps by insulating and thus warming) they are changing the capillary flow. It is interesting that La Leche League advocate standing in a warm shower with the water playing on the breasts until they start to let down milk and relieve the pressure. It is most definitely an area which could do with further study. Other possible leaves which might do as the crossover include banana leaves, and I'm sure other large leaves can be thought of. It doesn't have to be double blind. A study could be designed to use two different types of leaves and have the study users say which does better. After all it would really be a modified pain study and placebo effect in these types of study is impossible to control for.

"Anna Meenan, MD" wrote:

> At Tue, 16 Jan 2001, Robert J Woolley wrote:
> >
> >On Tue, 16 Jan 2001, ginny lee, CNM wrote:
> > The experimental group tended to report less breast engorgement,
> >
> >And hence the problem. It is not double-blinded, not even
> >single-blinded. Why not have the control group given, say, spinach leaves
> >to apply?
>
> But, Bob, cabbage leaves are cheap, noninvasive, and nontoxic, and
> double-blinding would be virtually impossible. I have had favorable
> anecdotal reports from my patients who have used them, so I am not
> exactly holding my breath waiting for a RCT to be published.
>
> Anna Meenan, MD

--
Dr. S.H. Raymond
Department of Obstetrics & Gynaecology
Empangeni Hospital
Private Bag X20005
Empangeni
South Africa 3880
Ph. (+27) (035) 7721111
Fax (+27) (035) 7922596




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