Hi Robbie,

I am working with a mother right now (permission granted) who had breast
reduction surgery 10 years ago, after the birth of her first child. She did
not plan a second pregnancy, and was pleasantly surprised to have a second
child a few months ago.

From what I understand, the literature says a "keyhole" procedure (nipple
removed, underneath breast tissue reduced, nipple reattached) she should
have no milk production. Her incision is exactly at 4:00 and 8:00, primary
nerves for lactation. She, however, is pumping quite a bit more than her
baby is taking right now.

Her problem lies that first, the baby was roughed up during his delivery
(cesarean, pulled hard on the head and nerves in his neck impinged). He
cannot open his mouth up all the way, which is not helping the latch.
Second, after surgery, she was left with quite a bit of scar tissue and has
large, fibrous nipples. The large nipples, combined with the baby's small
mouth opening, is a difficult combination.

I'm thinking Jan's post about the Fr feeding tube is what we're going to try
tonight!

Best wishes,
Heather "Sam" Doak


<<My questions to you are: What are your experiences with mothers
who have had breast surgery? What was their success rate of breastfeeding
? Did they need to supplement due to inadequate milk supply? Also, has
anyone had breastfeeding problems with patients who have had other
thoracic surgeries involving breast tissue (such as cardiac surgery)? Any
information or stories you could share would be appreciated.

Thank you,
Robbi, Student Nurse>>

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