Evidence-Based Practices

Breastfeeding Medicine of Northeast Ohio is committed to evidence-based practices.  Below is a summary of our published breastfeeding medicine research.

Breastfeeding Support and Primary Care Practices:

“Translating Team-Based Breastfeeding Support into Primary Care Practice.” Witt AM, Witt R, Lasko L, Flocke SA. JABFM. 2019 Nov;32 (6) 818-826.

      • Practice assessment informs feasibility of implementating lactation consultant primary care team based care. For the link to the full article, click here.

“Integrating Routine Lactation Consultant Support into a Pediatric Practice.” Witt AM, Smith S, Mason MJ, Flocke SA. Breastfeed Med. 2012 Feb;7(1):38-42

      • Breastfeeding success rates improve when the first pediatrician appointment includes a visit with the lactation consultant.  This is the newborn care model provided at Senders Pediatrics. For the PubMed link, click here.

Therapeutic Breast Massage in Lactation

“Mothers Value and Utilize Early Outpatient Education on Breast Massage and Hand Expression in Their Self-Management of Engorgement.” Witt AM, Bolman M, Kredit S, Breastfeed Med 2016 Nov; 11:433-439.

      • Median day of engorgement peak is 5 days postpartum which matches with the American Academy of Pediatrics recommended newborn pediatric office visit.  At this visit, mothers find postpartum support addressing engorgement, hand expression and breast massage helpful. For the PubMed link, click here.

“Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts and Mastitis” Witt AM, Bolman M, Vanic A, Kredit S, J Hum Lact 0890334415619439, first published on December 7, 2015

      • In-office Therapeutic Breast Massage in Lactation (TBML) helps lessen pain with engorgement, plugged ducts and mastitis. The treatment was helpful immediately. Mothers learned massage techniques during the visit that they found helpful in the future. For the PubMed link, click here.

“Recapturing the Art of Therapeutic Breast Massage During Breastfeeding.” Bolman M, Saju L, Oganesyan K, Kondrashova T, Witt AM. J Hum Lact. 2013 Aug;29(3):328-31

      • Description of breast massage techniques to help in the treatment of engorgement, plugged ducts and mastitis. For the PubMed link, click here.

Chronic Pain:

“A Case Control Study of Bacterial Species and Colony Count in Milk of Breastfeeding Women with Chronic Pain.” Witt A, Mason MJ, Burgess K, Flocke S, Zyzanski S. Breastfeed Medicine. 2014 Jan-Feb;9(1):29-3

      • This study investigated bacterial causes of persistent breast pain.  The findings show more frequent S. aureus growth in women with chronic pain suggesting that bacterial cause should be considered when women have continued breast pain. For the PubMed link, click here.

“Role of Oral Antibiotics in Treatment of Breastfeeding Women with Chronic Breast Pain Who Fail Conservative Therapy.” Witt AM, Burgess K, Hawn TR, Zyzanski S. Breastfeed Medicine. 2014 Mar;9(2):63-72.

      • For those women not responding to conservative treatment, oral antibiotic treatment matched to breast milk culture may significantly decrease pain. For the PubMed link, click here.