Re:  risks for low milk supply....I have heard two recommendations re: 
pumping when mom has had reduction surgery:  one is to get her pumping soon 
after delivery to get her production up as much as possible; the other is 
that pumping can cause severe engorgement due to ducts that have had 
pathways severed and cannot be removed.

Thoughts?  Experiences?

Carolyn Schindewolf, BS, LCCE, IBCLC
----- Original Message ----- 
From: "Kathy Eng" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, July 17, 2007 5:58 PM
Subject: risk factors and telling it like it is


>I really believe that we need to give moms the correct information no 
>matter what it is. Presented respectfully. But also tell them how they 
>might overcome their issue or challenge should they chose to do so. I say 
>this from being on the opposite side of the question sometimes. I get a lot 
>of moms asking about relactating or wanting to start pumping for a 
>premature baby after 7-10 days of doing nothing (no breastfeeding or no 
>pumping). I find that hospital staff builds up how easy starting to pump 
>this late is going to be. They seem to push that the free pump from WIC is 
>the answer. I have learned that moms deserve a full answer or education on 
>how the breasts make milk and what relactation involves work-wise. I used 
>to just encourage them like a cheer leader but I then saw how disappointed 
>and discouraged moms were after even so short as 2 days when they were not 
>making milk instantly. How most quit before a week was over. When I started 
>giving a full answer, with the pros and cons, and milk supply information, 
>the ones who actually choose to initiate a milk supply this late have more 
>confidence and are willing to put effort and commitment into a plan of 
>action. Rather than thinking how easy this will be and then being 
>disappointed or angry at their bodies not cooperating. At least they know 
>how and why the body makes or doesn't make milk. So maybe next time will be 
>different.
>
> Kathy Eng, BSW, IBCLC
>
>             ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> Mail all commands to [log in to unmask]
> To temporarily stop your subscription: set lactnet nomail
> To start it again: set lactnet mail (or 
> [log in to unmask])
> To unsubscribe: unsubscribe lactnet or 
> ([log in to unmask])
> To reach list owners: [log in to unmask] 

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]