I have permission to post from a patient I saw this afternoon.  She  has a 
baby in NICU and was having problems finding a bra that fit her  properly.  She 
claims she had a similar problem with her older child 2 1/2  yrs ago, but 
can't remember what she did with the bras she had then.  Her  difficulty is she 
wears a size 40 and while she wears a DD on one breast her  other breast is a 
FF.  I recommended she check out JCPenney or  WalMart.  Her Mom went to 
Nordstrom's and found a DD with a wire and it is  really crushing in her breasts. It 
is also very tight across her back.  
She claims she will have enormous amounts of milk and today on Day 3 she  was 
pumping almost 6 oz at a time and she stopped because she was afraid she  
would overstimulate and cause more engorgement. She has soft nipples and someone  
had given her shells which were not helping because when erect after pumping  
they were too small for the shell openings.  The tight fit of bra would  
flatten in the nipples. I suggested she ditch the shells, keep the flaps down on  
bra after pumping if in the pump room in NICU and then proceed to the baby  so 
he could latch on some nicely lengthened nipples. I reassured her that she  
won't cause too much stim if she pumps for about 15-20 minutes on low while at  
home every 3 hours to have a supply to take to hospital when she visits.   
The concern is the bra. I am concerned that if she continues with the  
Nordstorm's bra she may cause some clogged ducts or mastitis. She says the other  bras 
where purchased in Texas but she can't remember where.
I told I would post in hopes someone in the next day or so will give me a  
lead for her to check out for a more comfortable bra....she is not opened to  
going braless since the weight is so great.
Any suggestions can be posted or emailed to me privately.
Thanks, 
Leanne Jewell RNC, IBCLC, LCCE, FACCE
South Miami, Florida

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