dear all I have a primigravida patient 38 weeks, planning a home birth with
a home birth midwife and came in to see me two weeks ago  with a complaint
of massive breast enlargement in pregnancy. She has gone from a d cup to a g
cup, 109cm chest diameter 2 weeks ago to 111cm chest diameter this week,
about a month ago she had a lot of redness, heat and discomfort in her
breasts (I think at the time of most rapid enlargement) now mostly resolved
but she still has non tender brawny erythema and some oedema. She has a past
history of two brief periods on the OCP, went off it because of breast
enlargement, ended up a d cup form original B cup and never resolved. I
think this woman has gigantomastia, does anyone have any experience with
lactation in this condition? There are only case reports in the literature
with varying reports of what happens after delivery and no info on
lactation.
Moira McCaul, GP LC Adelaide, South Australia
-----Original Message-----

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]]On Behalf Of [log in to unmask]
Sent: Wednesday, December 22, 2004 1:05 PM
Subject: unhappy baby


I would strongly suggest looking at one of the syndromes such as Williams
Syndrome. I have dealt with a situation in the past few years where the
child
was fading away despite all efforts. Mom did lose her supply which was very
unfortunate as the child did not tolerate the formulas at all well. In his
case
he had very little gut motility. You could force food into him but it didn't
move through the gut. He ended up in quite a bit of trouble due to over
feeding
and distention and.... It was months into the ordeal before a confirmed
diagnosis took place. For me it was another lesson about listening to the
mom.
It was her first babe but she KNEW there was something going on while we
were
still reassuring her the babe was within normal parameters.

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