The postpartum patient has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include:
1. Warm showers b.i.d.
2. Pumping milk t.i.d.
3. Ice packs to the axillary area of each breast q.i.d.
4. Avoiding wearing a bra for 5–7 days.
3
Rationale 1: Warm showers b.i.d. increase the flow of breast milk.
Rationale 2: Pumping milk t.i.d. increases the flow of breast milk.
Rationale 3: Ice packs to the axillary area of each breast for 20 minutes, four times daily, should begin soon after birth. This provides mechanical inhibition of lactation.
Rationale 4: Not wearing a bra for 5–7 days increases the flow of breast milk.
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