Hello,

I am an RN coordinating a prenatal screening program. All contact is by
phone, purpose is to be available to answer general questions and support
mom during pregnancy... and possibly pick up risk factors she might not
mention to the ob.  One of my patients is diabetic, on insulin right now
but anticipating return to po hypoglycemics pp.  I asked her if she
planned to bf (EDC 12-25-98).  She said no, like she had never considered
it. When I asked her why, she said she had bf her first baby and really
enjoyed it, even though she had to return to work and pump, etc.  In the
interim she had "breast reduction surgery" (her words, and I don't have
access to any records to say exactly what kind) and just thought it would
be impossible.  She had talked to an aquaintance who successfully bf
after (assumably the same) surgery, but thought that was "just a fluke"
and didn't want to "get her hopes up."  I told her to talk to her ob
about it, and that it was definitely possible she could nurse. I also
told her to tell her endocrinologist that she was planning to bf so he
could prescribe her po hypoglycemics with that in mind.
Was I wrong about bf being possible after surgery???  I know there is
unlikely to be an easy answer without knowing exactly what kind of
surgery, but in general, isn't the only way to know just to try??
Just second-guessing myself,
Vicki BrittonRN
Olive Branch, MS

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