Thank you so much!
Tania
Tania Archbold B.Sc, IBCLC
Mothers Nectar Lactation Consultant Services
Guelph, ON Canada
519-400-7098
On 2013-04-17, at 12:39 AM, Diana Cassar-Uhl <[log in to unmask]> wrote:
> Hi Tania,
>
> I'm sorry that I can't give you a more comprehensive answer at the moment
> because I am under deadline to get my thesis (about the experiences of
> mothers with hypoplasia/IGT) submitted in time for me to graduate, but I
> wanted to let you know that in our study of mothers with hypoplasia, a very
> prevalent theme is that *they wish they had been told* their breasts might
> (or might not) show physical characteristics that may (or may not) be
> predictive of low milk output in lactation. Less than 1/5 of a
> sub-population of the sample (I'm only working with about half of the data
> for the thesis so this isn't a complete analysis but the N is sufficient)
> indicated that they would only want to be told about the concerning
> physical characteristics of their breasts after their breasts didn't want
> to make milk -- more than twice that percentage wanted to be told before
> pregnancy and about half of the respondents in this sample wanted to know
> either during pregnancy or immediately postpartum. The qualitative
> responses support these numbers, as well -- these mothers really want to
> know what you're seeing and they want to be counseled about why it's
> concerning, even if there ends up being no problem with milk production.
>
> For the best evidence we have about the physical markers of mammary
> hypoplasia that may be predictive of lactation difficulty/low milk output,
> see:
>
> Huggins, K. E., Petok, E. S., & Mireles, O. (2000). Markers of lactation
> insufficiency: A study of 34 mothers. *Current Issues in Clinical
> Lactation. *Sudbury, MA; Jones & Bartlett, 25-35.
>
> A simple search will take you right to the full text of the paper online.
>
>
> This blog post by an IGT mom is an excellent gallery of breasts of mothers
> who struggled with lactation and offers some insight into how varied their
> presentation might be.
>
> http://diaryofalactationfailure.blogspot.com/2011/12/many-faces-well-not-faces-of-igt.html
>
> I hope this is useful to you as you support this mother.
>
> --Diana Cassar-Uhl, IBCLC (and hopefully soon-to-be MPH)
> New York, U.S.A.
>
>
>> Date: Tue, 16 Apr 2013 10:03:02 -0400
>> From: Tania Archbold <[log in to unmask]>
>> Subject: Re: IGT/ hypoplasia
>>
>> Thank you. I was concerned about setting doubts in her mind. I did know
>> about the spacing. Is it a definite sign? That is… if her breasts are not
>> widely spaced is it very unlikely that she has IGT?
>>
>>
>> Tania
>>
>> Tania Archbold B.Sc, IBCLC
>> Mothers Nectar Lactation Consultant Services
>> Guelph, ON Canada
>> 519-400-7098
>>
>>
>>
>>
>>
>
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