Hi Michelle,
Flaming is extremely rare on Lactnet (in fact I can't remember the last time
there was a problem!) and vigorous discussion is encouraged so go for it!
Again, would a mother having had a breast reduction change the basic support
and information that you would provide a mum with? I'm thinking that a mum
with a breast reduction would be encouraged to breastfeed frequently and
watch for signs of insufficient intake (and that intervention would only be
required once a problem had shown itself). Isn't that standard
information/treatment? Not all mothers who have had a breast reduction have
low supply (do we have any decent research on this? I haven't seen any). I
would argue that unless the risk is very high and treatment would change
because of that condition.  What is the harm for those women who do have a
risk factor and do end up with low milk supply if their treatment would not
change? And women who are physiologically capable for making sufficient milk
despite the risk factor are protected.

Karleen Gribble
Australia

 ----- Original Message ----- 
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, July 20, 2007 11:53 AM
Subject: Regarding to inform or not to inform


> Trying to cautiously word my response to avoid the flames :) I am being
sincere, not trying to *sound* (however we sound via e-mail) sarcastic.
> ?
> Do you feel the same for example about serving a mother who has had breast
reduction? Offering information about the risk of low milk supply is not OK?
>
> I think it is possible to compassionately and thoughtfully offer
information (and resources and referrals that are not necessarily warranted
otherwise) to these mothers.
>
>
> Michelle H. Kinne ICCE CD(DONA) CLE
> www.DoulaDiva.org
>
>
>
>
> <Karleen writes:>
> I do not think that this is at all
> helpful since we don't really have any way of telling what risk factors
> might turn into real problems and we know that confidence is strongly
linked
> with breastfeeding success. Telling a woman that she may have difficulty
> making milk is an intervention that we know will adversely impact her
> ability to make milk. How is it OK to do that?
>
>
>
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