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Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 17 Jun 1999 16:23:52 EDT
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Dear Wise Ones,
Today I spoke to a woman who attended my breastfeeding class and wants to
breastfeed.  She has agreed to have her case discussed in this forum and is
wanting your expert advice. She has a history of fibrocystic breasts.  Her
first surgeon was performing frequent aspirations.  Her current surgeon is
watching and wanting her to have a breast reduction in the future.  Her
breasts have grown huge during the pregnancy and are still growning.  Prior
to pregnancy she was a DD before her period and a D after.  She is in her 3rd
trimester and is currently wearing a size I (the letter after H, not a one).
Her left breast is obviously larger than the right. Her husband weighed them
on a postal scale and the left weighs 13 lbs, the right weighs 7 lbs.  This
poor lady is in a lot of pain from the weight, says they are hot, has had the
dr. look at the redness that sometimes occurs and says her nipples are
cracked.
     The problem is that her surgeon and one of the OB's in the group she is
seeing during the pregnancy has told her not to breastfeed, that if she has a
problem during nursing, it will just be more difficult to handle. Her surgeon
has also said that he is concerned that the cysts will get in the way of the
milk flowing. As we were speaking, the OB in question happened to walk by and
saw me talking to her. I asked him if he was concerned about her having to
deal with her milk coming in anyway and the problems that could cause.  He
said he would rather her deal with a few days of soreness than possibly other
problems down the road.  I fully expect I'll be called down to the directors
office again for questioning advice. The other OB's in the group have not
discouraged her from nursing.
   She also mentioned that the other day she had a "wet spot" on the breast,
near her armpit.  She wiped it off and said it looked like there was fluid
coming through the pores of the skin. She denies that the area appears like
an extra nipple.  Please help, I need support to encourage her to breastfeed.
 Would it be ok for her to use ice or cabbage leaves now for the swelling?
Thanks in advance for your advice.

Linda Goldberg, RN, CCE, aspiring LC
Central Florida

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