Janine-
I don't know if Patricia is still on Lactnet, but her article on nursing  
twins (plus her singletons) after a childhood burn injury is a must read  for 
your client.
 
One Breast is Enough by Patricia Blomme  (Mar/Apr 2005)
_http://mothering.com/breastfeeding/one-breast-enough_ 
(http://mothering.com/breastfeeding/one-breast-enough) 
 
Hope that is helpful,
Mary in Mason OH USA
 
 
--------------------------------------------
Date:    Thu, 5 Nov 2009 14:07:57 -0500
From:     Janine Johnson <[log in to unmask]>
Subject: Old burn injury of  breast

I have permission from my client to post and would appreciate any  help wi=
th this case.

My client, 28 weeks pregnant has an old burn  injury from when she was a c=
hild 4years old  (boiling water) on her  chest extending from just below t=
he neck down to her left breast including  the upper area of the nipple.  =
There is no scarring below the areola  and nipple.  The burn scarring appe=
ars keloid and I should think was a  full thickness burn at the time.

She desperately wants to  breastfeed.  On examination, her right breast an=
d nipple are perfect,  no burn injury there.  The left breast is pulling u=
p towards the  sternum slightly. The scarred area is hard to touch and tau=
t.  The  rest of her breast is soft and lower side of the nipple normal.   =
Basically all the scarring is on the upper, right &  lateral  aspect of th=
e breast.

At this stage she has not felt any changes in  her breast, she has slight =
fullness in her right breast.  She is very  positive and wants to try to b=
reastfeed certainly if it is only from one  breast.=20

I would really appreciate some help with this.

Janine  Johnson
RN RM IBCLC Paeds
George=20
South Africa

email: [log in to unmask] (mailto:[log in to unmask]) 

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