I am working with a mom that I saw initially at 2 days postpartum.  Mom was
coming in to get a pump because she has a lump, approximately 2 - 3cm in
diameter at 9:00 on the R breast with one edge at the areolar margin and the
rest extending into breast tissue.  Mom was very motivated to breastfeed.
She was scheduled for surgery the next day.  When I saw her, I suggested
that she ask the surgeon to cut perpendicular to the areolar margin to
preserve breastfeeding function.  When she returned to get help with
breastfeeding, she said that the surgeon refused to cut perpendicular since
he preferred to cut along the areolar margin.  The cut was from 6:00 -
10:30.  

 

On day 4, we were able to get baby onto the L breast but surgeon "forbid"
breastfeeding on the R until the next day.  Mom was sore, swollen and
engorged where the ducts were cut.  Mom returned again at day 6 to work on
breastfeeding on the R.  The area of the breast that was behind the cut was
swollen as well as the area in the areolar margin between the cut and the
nipple.  I am trained in Lymphatic Drainage and used it to reduce the
swelling.  Mom wants to keep breastfeeding on both breasts.  

 

I am wondering if anyone has a way to dry up only the section of the breast
behind the cut.  I know when the milk does not come out, it will involute on
its own.  I am looking for a way to reduce it in the one section only, more
comfortably and quicker.  For now we are using ice for comfort.  Cabbage is
being used well behind the incision since I was uncomfortable with the idea
of cabbage on top of the open wound.

 

llp

 

PS.  The lump was benign.  The surgeon diagnosed it as a "lactating fiber
adenoma."  I have heard of a fiber adenoma but not a "lactating fiber
adenoma."  Where have I missed this term?

 

Linda Pohl, IBCLC, RLC

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www.eBESTFed.com

"Everything for the Breastfeeding Family"

 


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