From: Mitchell, Maureen A.

Sent: Tuesday, June 07, 2011 10:27 AM

To: '[log in to unmask]" target="_blank">http:[log in to unmask]'

Subject: Left breast decreased function



Primip gave birth to an 8lb. 3 oz. boy on 5-18-11.  Uneventful vaginal birth.  Mother is 27 yrs. old, noted breast swelling 4th day in both breasts.  Due to sore nipples started pumping & bottle feeding breastmik.  From the beginning noted decreased milk supply from left breast. Same stimulation given to both breasts by medela double electric pump q 3-5 hrs.  Getting about 4 oz. from right & 1 oz from left breast.  There is no history of trauma or medication use, breasts were same size. Symmetrical breast changes during pregnancy & early post partum during primary engorgement stage.  Had her pump left breast twice as much for 3 days & no noted changes.  Mom to come in so I can observe pumping & make sure correct flange size is being used.  Today she is 20 days postpartum. Presently her left breast is notably smaller that right.  Suggestions please.





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