You will need a more thorough history and breast exam when you and she meet.
Was the surgery before or after her last pregnancy and lactation?
Specifically what was her experience during the previous lactation? Milk
coming in? Infant weight loss and gain, jaundice, what interventions were
used, what worked and what didn't etc. Was the surgery in just one breast,
and what does the other one look and feel like? Normal or not?
I have a client with assymetry, wide spacing of breasts and one breast
appears normal however the milk production is low. Complicated by a
premature infant.
My approach to your mother would be that she is at high risk of lower milk
production due to the history of breast assymetry, one breast
underdeveloped, needed to supplement throughout the first lactation.
The reason for the surgery (breast hypoplasia, for example) and the actual
surgery (where incisions were made etc) are both risk factors. This mother
will need excellent bf practices and support, probably early intervention to
maximize production, and early, and close followup.
Laurie Wheeler, RN, MN, IBCLC
MISSISSIPPI USA

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