>-----Original Message-----
>From: Joy M Cocks <[log in to unmask]>
>To: Maureen Minchin <[log in to unmask]>
>Cc: Ozmidwifery <[log in to unmask]>; Lactnet
><[log in to unmask]>
>Date: Thursday, 25 November 1999 9:15
>Subject: Breastfeeding after reduction
>
>
>>Dear Jack,
>>
>>I had a phone call from a neighbouring hospital this a.m. about a woman,
>2nd
>>baby, day 4.  This woman had breast reduction surgery between babies
>>(breastfed her first I believe).  Now is lactating, but has extreme pain
>>when feeding (the midwife who called me couldn't tell me if the pain
>>continued between feeds), baby has lost only 15g since birth, so is
>>obviously getting plenty of milk.  I'm assuming that no other feedings
were
>>given to this baby.
>>
>>I've not had experience with women after breast reduction surgery, but I
>>understand that it depends largely on how the surgery was done and, whilst
>>women may be able to breastfeed, they may not be able to fully breastfeed.
>>I believe this is the same woman that I was asked about (again by a
someone
>>else) during her pregnancy, but I was not given the opportunity to
actually
>>see her and discuss this issue.  I was told then that the surgeon who did
>>the operation had said it would improve breastfeeding!!
>>
>>Whilst I'm not discounting thrush as a problem, my thoughts are that the
>>milk is just not able to get through some of the ducts and this would
>indeed
>>cause extreme pain, especially when the milk ejection reflex occurs.  Does
>>anyone have any ideas on this?  In time would the alveoli in these
>>non-patent ducts stop producing, thus easing the pain?  Apparently this
>>woman has asked the midwife to "give the baby a bottle" for the next feed
>as
>>it is just too painful, so I need information ASAP.  Sorry I can't give
>more
>>information at this stage as everything I've been told has been 2nd hand.
>>Look forward to all your responses.
>>TIA
>>Joy
>>
>>Joy Cocks RN RM IBCLC
>>BRIGHT Vic 3741
>>email:[log in to unmask]
>>
>>
>

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