Julie was lamenting first seeing mothers with hypoplasia postpartum, when
she might have been able to take steps in pregnancy to maximize her supply.
I have worked with one client through all three of her children (and will
be there for #4, expected next year), who has obvious hypoplasia and a
severely limited milk supply. I asked her during her second pregnancy if
she would have preferred to know in advance, with baby #1, that she would
likely not make a full supply. She told me that she would have been
crushed, as she always knew she would breastfeed, and that that knowledge
would have cast a shadow over the entire pregnancy for her.

That was not the answer that I had expected, as I was also wishing I had
known in advance so that we could all be a little more prepared. I guess
sometimes the most practical thing might not be the most helpful thing.

I have a question, though, for Julie and all of you who do detect
hypoplasia prior to delivery. How do you bring the subject up with a woman
who might not suspect that her breasts are anything but normal?  We have so
much body shame and objectification and anxiety in our culture anyway, I'm
always concerned about adding breast appearance to the list of things women
dislike about themselves.
Cheers,
Sarah Stevens, IBCLC
Anchorage, AK

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