At the Hale/Hartmann conference, the issue of breast development was
discussed. The researchers reported finding 3 types of breast
development - the majority of tissue development occurred during the
first trimester of pregnancy. The second type developed steadily
throughout the pregnancy. The third type was most interesting - minimal
development during pregnancy, but development occurred during the first
month postpartum. The keys were adequate stimulation and drainage after
delivery in this third scenario. I think this is important to consider
when looking at this whole issue of "insufficient glandular tissue" and
not count the mother out if she isn't Type I or Type II.
Jane Kershaw, RN, BA, IBCLC, RLC
Coordinator, "A Mother's Place"
Lactation Support Services
Women's Hospital @ Centennial
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Lisa Marasco IBCLC
Sent: Wednesday, October 31, 2007 10:39 PM
Subject: Re: hypoplastic breasts
I think that eventually we are going to have to refine this term.
Generally speaking, it is usually used to refer to not enough glandular
tissue. But not enough when--- before the pregnancy? At the end of
pregnancy?
Some women clearly start pregnancy with unusual, deficient-appearing
breast tissue that also does not do much during pregnancy or after.
Other women start pregnancy with breasts that we have seen do a lot;
some may look perfectly normal, others questionable. But breasts in
either of these categories that don't respond to pregnancy ultimately
won't have enough glandular tissue. So was it a case of not having
enough to start with, or simply not developing the additional tissue
that should occur during pregnancy? Did our tree stay in a dormant,
winter-like stage, or did it try to go through spring and summer?
When I see these breasts, and I see more than I like, I'm always trying
to figure out which came first, the chicken or the egg? What I probably
need to do is start looking at mammograms and seeing what "normal" looks
like, and then get images of these breasts that aren't doing much and
compare them. Better yet, take breast with a bad lactation history and
get an image before/early pregnancy and then at the end.
There is so much more to this topic than we realize.
~Lisa
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