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Subject:
From:
"Robin Roots,Rn Ibclc" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 22 Mar 2008 23:05:25 -0400
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Do you remember my post?  My mom has a 3 1/2 incision on aerola border.  
Surgeon drained 1 and 1/2 cups of pus.  She has not weaned on that side as 
the milk still comes out of the wide gape on top.  She puts the baby to that 
side only 3 or so times / day with a nipple shield as skin is healing thick and 
baby unable to grasp aerola properly.  She is about 2 weeks out.  Some say 
letting the milk wash over the wound will slow the healing.  But it will 
heal "better' from all the anitbacterial properties from milk.  I felt as you do.  I 
could not advice her, to either feed or wean.  Each way there is a risk.  In 
looking into some research and Newmans book the reacurrance is about 7%.  
So thats a 93 % chance of NOT getting it again.  I felt the decision is/was 
hers alone and I would support her whatever she chose to do.  I saw her last 
night and she is healing nicely.  It is disconcerting to her, however, to have 
the milk keep leaking out of the top of the breast.  I advice to keep it open to 
air as much as possible.  The weight of the breast is pulling it down a bit and 
may slow how fast the wound heals from the inside.  I suggest a little strip of 
paper tape criss cross not touching the incision but lifting the breast a bit.  
We know we don't want it to close before completely healed, so a good 
support bra with the flaps down is another idea.  
I am sharing this story with you as maybe what we have or haven't done you 
may find helpful.  I did post about it in lactnet.. March 6 or 7 .

Good luck to your mom.  My heart goes out to her.  The stories sound similar 
in that she did delay getting treatment as well.  A bit non-compliant when we 
first suspected something....Not pumping as directed and other things.
Anyway, all my best thoughts and wishes.  You can contact me off-line for 
more indepth information.

Best,
robin

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