I saw a similar case when I did my internship.  The location of the
incison made it impossible to get suction on  the pump. We ended up
putting gauze over the incision, then using Tegaderm over the gauze.
The mom was able to pump and avoid another abcess.

Christia Bridges-Jones

On 3/5/08, Dr. Leeper <[log in to unmask]> wrote:
> I am not sure I understand exactly where this incision is, but you do not
> need to worry about pulling the edges apart...they are not going to heal
> back together.  The wound must heal by "secondary intention", or from the
> bottom up.  So you can lay some sterile gauze over it to make it a little
> more comfortable under the flange, and she should pump. Otherwise she will
> have the pain of engorgement on top of all the rest.
>
> Kathy Leeper, MD, IBCLC
> Medical Director, MilkWorks
>
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