Jeanette posted this, regarding a mom with low milk supply:

>She found mom had a large scar across
>her
>chest and up into her armpit - emergency incision when she had suffered an
>arrest after an auto accident.  There must have been inadequate healing of
>the
>breast tissue and ductwork - mom could not supply enough milk for her baby
>and
>needed a feeding tube system to supplement with ABM (the other stuff).

What a coincidence!  I saw a mom in the hospital today--first baby, good
nipples, baby is nursing pretty well, but mom mentioned that baby seems to
have some difficulty attaching on the left breast.  I helped her, the baby
attached with no problems, but in the course of the conversation, she
mentioned that she had been in a car accident, with trauma to the left chest
wall--fractured ribs and some back injuries.  No damage to the breast at all,
but she has little nipple sensation on the left side.  Do you think she'll
get enough oxytocin release when she nurses on the right to stimulate and
maintain adequate let-down on the left?  (I'd think not.)  Should she begin
all feeds on the right?  Would switch nursing, changing breasts every few
minutes, be helpful?  What about some type of manual nipple stimulation on
the right as the baby nurses on the left?  Any ideas, or anyone with
experience with this?  I've worked with moms who have little or no sensation
in both breasts, but never just in one.  Thanks for any input.

Judy D in WV