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Subject:
From:
Jack Newman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 21 Jan 1997 20:43:40 -0500
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I see approximately 4-6 women with breast reductin a month.  It is
possible for a mother with breast reduction to breastfeed exclusively.
Most cannot manage to breastfeed exclusively, but occasionally I have
seen a mother manage very well.  Of course, they can always supplement
with a lactation aid, so that they can continue nursing.  Thus the
baby will get some breastmilk, which I, unlike altogether too many
physicians, believe is better than nothing.  But it is important the
mother get support so that she can accept that some is better than
nothing.  That way too, the bonding, the pleasure of breastfeeding
occurs even if the mother is supplementing.

Interestingly, many of these women seem to produce plenty of
colostrum.  But this mother should be helped with the same approach as
any baby who is really not gaining weight well.  Help with the
breastfeeding and latch.  Observe the breastfeeding.  Is the baby
drinking milk?  How well?  If not well, then start supplementing,
using a nursing supplementer.  If the mother can do it, she should
pump after each feeding.  Consider using domperidone or
metoclopramide.

Hope this helps.

Jack Newman, MD, FRCPC

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