Hi all, I have been following this thread with interest.   I often see 
pregnant women who want to know if they can breastfeed.   The answer is 
always yes.  However if it is a mother who has some condition such as 
reduction mammoplasty, I continue with "many mothers with this surgery 
can fully breastfeed their infants.  occasionally some mothers do not 
produce enough milk.  We will be watching your baby's growth and if we 
will do everything to try to help you have a full supply, but if there 
is a problem you can do this and this and you will be  breastfeeding .  
  However you may need to offer some supplement too"

Perhaps my situation is different because these mothers are coming to 
me asking the question.  I  feel they need full information given in a 
positive manner.   I have had women with reductions feed without 
problems and I have some who have breastfed for well over a year and 
needed close to 600 ml of formula per day until the babies were 
drinking liquids from a cup and eating solids.  They breastfed to the 
best of their abilities and I am proud of everyone of them      Eileen 
Ahearn Shea, BSc, IBCLC


On 20-Jul-07, at 4:35 PM, Catherine Watson Genna, IBCLC wrote:

> Hi Karleen,
> While there is no research on milk production after breast reduction, 
> I have seen many, many mothers who have breastfed after reduction in 
> my practice. I can count on one hand those who made all the milk their 
> baby needed with their first baby (results are generally better for 
> subsequent pregnancies). A significant fraction (perhaps a third) made 
> only drops despite working very hard feeding with a tube-supplementer 
> device and expressing milk for weeks or months.
> Several mothers who had other types of breast surgery such as 
> mastopexy (breast lift) did make sufficient milk after a little 
> initial struggle.
> Most moms with implants (breast augmentation) in my practice have made 
> enough milk, though they are vulnerable to engorgement, because the 
> implant is not as pliant as normal fat tissue.
> Catherine Watson Genna, IBCLC  NYC
>
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