Had an interesting mom in BF mothers group this week who introduced herself
to the group and then commented that she had a breast reduction some years
ago, and also that she had been consistently using shields to feed her 10
week old baby because she still could not get him to latch onto her breast.
She also reported that one breast had very little feeling, practically none
at or around the nipple.

I consciously ensured that my facial expression *did not* suddenly change to
horrified alarm as I continued engaged active listening (yes, I learned that
in nursing school as part of therapeutic communication :-) ) while also
making an effort to *causually* glance down at the baby, dreading to see what
would probably  be a bundle of boney prominences.

But, with much relief, I saw that the baby was nicely filled out and had been
gaining well. The mom had been consistently pumping after BF, *not* to ensure
ample supply because of the reduction and shield use, but to store up milk
for a return to work. Whew!

Debbie Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the suburbs outside the Washington DC beltway
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