My observations have been when a woman has had any previous breast surgeries,
such as breast reductions and augmentations, she has marked engorgement
postpartum even with early and frequent feedings.
Has anyone else noted this?  The engorgement tends to last 36-48 hours with
vigorous management.
I have a theory that when a breast has had the type of manipulation such as
these surgeries that there is more congestion in the tissues after the shift
the body goes through postpartum.
Would like to hear what others think or know.
Ann Perry RN IBCLC
Boston, Mass

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