I work in a NICU, and interesingly, we have had several premies (under 32 
weeks) of Mom's post GPB Surgery in the past 6 weeks.  Their surgery was 2 
to 3 years ago.  So far, none of them have been able to produce more than 
very smallamounts of milk despite an excellent pumping schedule (on a 
quality breastpump) and kangaroo care when able. I am always sure to ask 
if mom has had reconstruction, as some women have their breasts (and of 
course other body parts) lifted and tucked after their weight loss.
I am anxiously waiting to see how a personal friend of mine does with 
breastfeeding.  She has successfuly breastfeed her 2 daughters, now 13 and 
6 years old).  She had GBP 3 years ago (not planning any more children), 
and at the age of 39, is due again this fall.  I will keep you posted.
Catherine Katz,RN,IBCLC,RLC

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