Hi! My name is Nicole Engstrom, and I am a junior nursing student
at the University of North Dakota. I am currently taking a childbearing
class and will soon be having clinical on the OB unit. I joined this
listserv a few weeks ago and have enjoyed learning about the different
topics that have been discussed. One topic that is of interest to me is
women with breast implants who choose to breastfeed. I noticed in the
archives that this topic hasn’t been discussed on this particular listserv
since 1996. So, I thought I would find out what has changed since then.
It seems that in today plastic surgery has become a pop culture
phenomenon, especially when it comes to breast implants. You see it on
magazine covers, makeover shows, and even reality-based television series.
The American Society of Plastic Surgeons confirmed that 254,140 breast
augmentation procedures were performed in the year 2003 (Sagrillo & Kunz,
2004). Evaluation of the risk factors involved for women with breast
implants is ongoing. However, little is know about the effects that
silicone implants have on a breastfed infant.
A study done in 1994 was the first report of adverse outcomes in
the offspring of women with implants since this procedure began thirty
years ago. The study showed that out of 67 children, 11 showed abnormal
esophageal motility. 8 out of the 11 were breastfed (Berlin, 1994).
According to a study done by Kjuller et al. (1998), increased
incidence of esophageal disorders were found both in infants who had
mothers with implants and mothers who had breast reductions. Based on
their findings, Kjoller et al. hypothesized that silicone breast implants
are not related to esophageal disorders.
In 2001, the American Academy of Pediatrics’ Committee on Drugs
concluded that the current evidence was insufficient and caused no need for
the contraindication of breastfeeding in women with silicone breast
implants (American Academy of Pediatrics, 2001). The Committee also
decided adverse effects due to silicon are unlikely as its concentration is
greater in cows’ milk and formula than human milk with implants. Despite
these studies, little additional research has been done regarding this
topic.
My questions are: What is your agency’s policy concerning lactation
consultation for the expectant mother with breast implants? In your
experience, have you seen any adverse effects for either mom or baby? If
so, what were they? Thank you in advance for any information you share.
It is greatly appreciated.
References:
American Academy of Pediatrics, Committee on Drugs. (2001). The transfer
of drugs
and other chemicals into human breast milk. Pediatrics, 108 (3), 776-789.
Berlin, C.M. Jr. (1994). Silicone breast implants and breast-feeding.
Pediatrics, 94, 547-
549.
Kjoller, K., McLaughlin, J.K., Friis, S., Blot, W.J., Mellemkjaer, L.,
Hogsted, C.,
Winther, J.F., Olsen, J.H. (1998). Health outcomes in offspring of
mothers with
breast implants. Pediatrics, 102, 1112-1115.
Sagrillo, D. & Kunz, S. (2004). Surfing the internet for information on
breast
augmentation. Plastic Surgical Nursing, 24 (4), 158-164).
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