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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 7 Mar 2003 20:49:33 -0500
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Hi Charla,
I've seen quite a few moms with breast surgeries of various types, and
here's the run-down.

Chest tube in infancy - disrupted the breast bud, the affected breast
grew less and produced very little milk.

Breast augmentation - (non-areolar incision) milk production was close
to infant needs in all cases (no super-abundance), and required more
frequent feeding to maintain.  Possibly due to increased pressures in
the breast due to the implant taking up space.  Pressure is one of the
main triggers for atrophy of the milk glands...  The reason the breast
is so full of fat is that the fat protects the gland and allows some
buffer room for it to proliferate.  Even though fat is replaced with
glandular tissue during pregnancy, sufficient fat remains to allow for
some expansion of the breast with milk before pressure induced atrophy
occurs.

Breast lift (mastopexy) - saw only one case, reduced milk supply for
first baby, adequate for second baby but with additional stimulation
(Pumping).

Breast reduction - inferior pedicle technique - variable results - some
moms made only drops of milk, others close to a full supply.  Very low
suppplies were more typical.

Breast reduction - free nipple graft (over 20 years before having the
baby) - only saw one of these, mom worked very, very hard and is making
all but 4-8 oz of the baby's needs per day.

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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