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Mon, 17 Mar 2008 00:01:45 -0400 |
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Marianne writes:
When the incision is close to the areola, in order to give the wound rest, you
will not be able to let your baby drink from the treated breast. Apart from
that, you don't need to worry about your baby taking in a little bit of blood or
septum (? wound fluid) with the milk.
In case of a bacterial infection, it is not always possible to feed the baby at
the infected breast. Discuss this with your HCP. In many cases it is necessary
to empty the breast by pumping. Like the milk itself, the flow of the milk
enhances healing of the breast.
Robin writes:
As you may have seen my recent post on this topic. I went w/pt to surgeon
f/u to be able to get some knowledge. Her it goes:
My pts abcess was drained by cutting into the aerola border at 12 and 10. It
was 3 1/2 inches across and very deep. drained 1 and 1/2 cups of pus.
Baby was able to nurse, if mom could stand the pain. Fluid your thinking of is
serous fluid. (normal fluid in our bodies). Septum is the word for a dividing part
of the body. Such as a nasal septum. The pts are on antibiotics so bacteria is
taken care of. Sometimes (in my case) the breast was traumatized a bit. Milk
leaked out of the wound. This is normal.. She didn't pump. Breast did not
get engorged. Put baby to breast with nipple shield once after 6 days post
op. Most milk drained from incision. I am repeating the part about milk draining
from open wound as many pts may find this distressing. It is completely
normal as milk will travel to the path of least resistance. Also, milk helps the
wound heal with its epithelial producing properties.
1) not everyone can tolerate putting a baby or pump or hand to breast.
2) A bacterial abcess is treated with antibiotics. Baby can nurse.
3) You do not need to worry about pulling the skin and damaging the incision
from baby or pumping or hand expressing.
4) Milk and serous fluid may leak from the wound.
5) Remove milk from breast anyway the pt can tolerate.
6) Milk that leaks from incision is at least releaving the breast.
Not all breasts will become abcesses again if milk cannot be removed. I just
found this out. Please read my postings and the comments I received. I think
you will find this helpful.
best,
robin
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