I would like to post this case, to get more information from you with much 
more experience and knowledge than me. I had a patient referred to me that 
is due in a couple of  months. She wants to breastfeed. She is a multigravida 
2 pr 1. Was able to breastfeed first sibling up to four months. She had a 
mastoplasty and breast augmentation done to make her more symetrical.
I don't know if the surgery was before or after the first baby. The mastoplasty 
was done because of congenital breast that did not develop as much as the 
other breast in glandular tissue. I only got to speak with her a few minutes 
and did not get a complete history.  I will see her postpartum on the Ob unit 
when she delivers. I told her if she was able to breastfeed her first baby for 4 
months I did not see any reason for her to not breastfeed this baby. She said 
that abou three months she had to supplement and then it seemed that she 
had to supplement after feedings. I will post more information as it becomes 
more available to me. Any suggestion you may have to help me help her be 
more successful will be greatly appreciated please feel free to email me 
privetaly.
Thank you as always,
Terri Klein RN CLE CLC

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