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Subject:
From:
Alicia Dermer <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 22 Jun 1995 12:10:58 -0400
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Dear Fiona:  You may get two postings from me on this as I'm not sure you
received my first.  The lady may well be able to continue nursing on the
breast with the incision.  It is too early to tell how many ducts were
severed, and even if some were, she could still nurse.  Also, since the
trauma was from a seat belt, I assume the hematoma was on the inner
aspect, therefore doubt significant damage to the crucial nerve supply
for the areola.  If the incision isn't right on the areola, it should not
preclude nursing.  Marianne Neifert gave a talk about the effect of
surgery on lactation and referred to cases of continued nursing after
breast biopsies, with good healing even if rare milk fistula developed.
It is also common to allow mothers to nurse after I&D of breast abscess,
depending on location.  Another option for this patient is unilateral
nursing, with subsequent involution of the affected breast.  Two
references from her talk, which I personally have not read, are
Breastfeeding after breast surgical procedure or breast cancer.  Neifert
M.  NAACOG's Clinical Issues in Perinatal and Women's Health Nursing
3(4):673-82, 1992; and Barker P.  Milk fistula: An unusual complication
of breast biopsy.  J R Coll Surge Edinb 1988;33:106.  Hope this helps.
Alicia.  [log in to unmask]

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