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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 30 Aug 2001 20:04:06 -0400
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Hi Jessica,
Breast trauma can induce mastitis in a non-lactating breast, which could
concievably produce damage that could explain the lower production in
the injured breast.

Other possibilities to look at in this case:
The unequal breast consistency could be caused by an unusual
distribution of glandular tissue in the breast.  Did you palpate for
milk glands, and if so, did it feel like the usual amount and fairly
even distribution (it is typical for there to be more glandular tissue
in the lateral and lower quadrants of the breast than the medial and
upper ones.)  When there is unusual distribution, it can be a sign of
glandular hypoplasia, whatever the size of the breast.

Baby could have headache from vacuum extractor, try positions which put
no pressure on baby's head, vacuum does not predispose a baby to either
happiness or proper sucking.  If baby does a poor job stimulating the
milk supply initially, it can take mom time to increase her supply in
the second week.

Watch mom pump, to make sure her breast fits well in the pump.  Medela
kits have a comparatively narrow nipple tunnel.  If mom's nipple is
being entrapped, it will turn either beet red or white soon after she
starts pumping.  Either way, a wider nipple tunnel will help her get
more milk.  Medela does sell "personal fit" flanges that are wider.
Barbara Wilson Clay finds that if mom's nipples are the diameter of a US
nickel or greater, they need wider flanges.
--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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