I have a puzzler for everyone.  A client whom I have been following for
some time is nursing a toddler and has one lobe in one breast that
appears to be involuting much faster than the rest of the breast, leaving
a teardrop shaped depression in the breast (12:00, from nipple to
periphery).  I am unable to palpate any glandular tissue in this area,
though it was there when I first saw this mom for oversupply at 4 months
postpartum.  The milk supply in this breast is reduced compared with
both its former output and the contralateral breast.  She was
hospitalized last month for mastitis in the contralateral breast, and
still retains a plugged duct.  She reports nursing less on the involuting
breast recently, as she has been favoring the plugged one in an attempt
to ameliorate the plug and prevent recurrence of mastitis.
Any thoughts as to how one lobe could be so much more involuted than the
rest of the breast?  What is the range of normal appearance in involuting
breasts?
--
Catherine Watson Genna, IBCLC  NYC  [log in to unmask]