At 08:21 AM 9/16/96 -0700, Christine wrote: >Everything comes in bunches. Lately, on postpartum floor, many moms with >hx breast reduction. Am currently feeling, at least with this last bunch, >that there is ambivilance with these moms regarding their committment to a >"thorough try" at the breast. Putting off the nursings, don't really >follow through with pumping if needed, no show at F/U clinic appts, etc. >Others' experience??? Hi Christine, I haven't had the same experience. Two examples follow. Both these moms sought prenatal help by the way. I've had several very hard working moms who followed through after breast reductions. One breastfed exclusively for 6 months but had pain at the areolar suture lines when she latched the baby deeply. When she latched shallowly she had the usual nipple pain. With experimentation she found the depth of latch that worked best for her, not quite as deep as we would usually like but deep enough to avoid trauma. She purchased a SNS prenatally and wound up donating it to her birthing center, never needed to use it. The other had no problem with the latch and suture line pain but did have insufficient milk to fully nourish her infant. We used a SNS from the first week, playing with flow to maximize stimulation. She went on to breastfeed with the SNS providing about 50% of baby's calories for months. She had about 3 or 4 clinic visits, never missed one. Carla (just north of Washington, DC)