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Sat, 21 Jul 2007 21:29:27 -0400 |
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Hi all, I have been following this thread with interest. I often see
pregnant women who want to know if they can breastfeed. The answer is
always yes. However if it is a mother who has some condition such as
reduction mammoplasty, I continue with "many mothers with this surgery
can fully breastfeed their infants. occasionally some mothers do not
produce enough milk. We will be watching your baby's growth and if we
will do everything to try to help you have a full supply, but if there
is a problem you can do this and this and you will be breastfeeding .
However you may need to offer some supplement too"
Perhaps my situation is different because these mothers are coming to
me asking the question. I feel they need full information given in a
positive manner. I have had women with reductions feed without
problems and I have some who have breastfed for well over a year and
needed close to 600 ml of formula per day until the babies were
drinking liquids from a cup and eating solids. They breastfed to the
best of their abilities and I am proud of everyone of them Eileen
Ahearn Shea, BSc, IBCLC
On 20-Jul-07, at 4:35 PM, Catherine Watson Genna, IBCLC wrote:
> Hi Karleen,
> While there is no research on milk production after breast reduction,
> I have seen many, many mothers who have breastfed after reduction in
> my practice. I can count on one hand those who made all the milk their
> baby needed with their first baby (results are generally better for
> subsequent pregnancies). A significant fraction (perhaps a third) made
> only drops despite working very hard feeding with a tube-supplementer
> device and expressing milk for weeks or months.
> Several mothers who had other types of breast surgery such as
> mastopexy (breast lift) did make sufficient milk after a little
> initial struggle.
> Most moms with implants (breast augmentation) in my practice have made
> enough milk, though they are vulnerable to engorgement, because the
> implant is not as pliant as normal fat tissue.
> Catherine Watson Genna, IBCLC NYC
>
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