Dear Sarah and listmates,
Yes, I have been lurking lately and have decided to crawl out for a brief
moment to address Sarah's question. In the case described in the study you
mentioned, I would recommend using cold packs, cabbage, analgesia and maybe
some compression, like with an ace wrap. Treat that tissue just like you
would treat a mom who is bottle feeding and trying to minimize her breast
engorgement. For moms who have had nipples on accessory breasts, they
would put a breastpad inside each of the ace wraps and continue to
breastfeed as most of the time they did leak. I've only seen this maybe 4
or 5 times in the past 10 years. In the 1999 edition of BF & HL, there is
a color plate #17 that shows an auxiliary breast and nipple tissue. It
states, "In the absence of stimulation, milk production and tissue swelling
ceases."
Just curious, if this mom had NO nipple (NO opening), how did the breast
drain with a breast pump? Is there something I am not getting here? ( I
have only had one cup of coffee this am, so my synapses are not quite up to
firing mode yet) Using a pump to drain the accessory breast, if there is a
nipple, may help with comfort, but it could also cause the accessory breast
to continue to produce for a longer period of time. I have had some bottle
feeding moms express some milk to help them to be more comfortable during
engorgement, on a case by case basis, BUT they had nipples to express from.
See my point?
I am concerned that this case report will propagate mismanagement of this
condition. Could you please cite the reference? I believe we need to
address this with the author and the journal that published it.
Back to lurk mode.
Sincerely,
Maurenne Griese, RNC, BSN, CCE, CBE
Manhattan, KS USA
[log in to unmask]
http://www.networksplus.net/griese
> Almost two years ago I was helping a woman with some nursing problems.
> While doing a postpartum breast assessment for lactation I noticed
> accessory breast tissue in the axillary area. This tissue was engorged
> and tender. At that time I suggested cold and cabbage to treat the
> engorgement while allowing the tissue to stop producing any milk.
>
> This week a physician friend of mine showed me a case report involving a
> woman who had a rather large amount of accessory breast tissue without a
> nipple. The article stated that the woman managed to breastfeed for 8
> weeks by using a pump to drain the accessory breast. The only other
> possible way to deal with the problem, in the author's opinion, was to
> cease all breastfeeding. The concept of treating engorgement in
> accessory tissue while allowing the milk supply to dry up seems not to
> have been considered by the author.
>
> My questions:
> 1- In such a case how would you treat the enlargement or engorgement of
> accessory breast tissue?
> 2- Does anyone know of anything in the medical literature dealing with
> this topic? Ruth Lawrence mentions the condition in the discussion of
> anatomy but does not deal with any practical ramifications or management
> issues? Does anyone else?
>
> TIA
> Sarah
>
>
> Sarah Friend Barnett LLLL, IBCLC
> Bronx (New York City), NY - [log in to unmask]
> " You are not obliged to finish the task,
> neither are you free to neglect it." R. Tarfon
>
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