Thanks Lisa, I was aware if the nerve but thought that since it was a mid-line incision it shouldn't be affected.   However one of our bright young residents just informed me that it could be damaged by placement of drains etc.    She is already doing everything possible to increase her supply and is happy that she has something and that the baby enjoys being at the breast.    Eileen
On 2011-03-22, at 4:34 PM, lisa mooney wrote:

> Eileen, I would refer her to the BFAR website, loads of great info for increasing supply. I also have experience with a patient who had had emergency Cardiothoracic surgery/ sternal approach,   2 years prior to pregnancy, and she  was unable to develop a full supply. It can damage the 4th Intercostal Nerve and I think even glandular tissue. Lisa Mooney RN MSN IBCLC 		 	   		  
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