Dear Wise Ones,

Our clinic was contacted by the mother of  1yr old, IVF twins, who has been 
diagnozed with probable GIGANTOMASTIA.
During pregnancy her breast growth was rapid. 
She delivered c-sec 33rd week due to IUGR.
Within 30 hours  of delivery she experienced extreme engorgement.
By 48 hrs her breasts were purple and hot.
Treated with antibiotics and was then able to start pumping.
Sinufed x2 daily. Alternated hot & cold compresses.
Her breasts became so heavy that she needed 2 people to help her out of bed.
After 10 days the hard areas of the breast began to soften.
6 wks pp an 8cm abscess was removed. 
The hard areas in her breasts lasted for 5 months during which time she bf and 
pumped until weaning at 9 1/2 mos.
She always pumped post bf  "to keep my breasts under control".
Her breasts are now smaller than prepregnancy and she has "a lot of skin".
 
Her main concern is whether she is likely to suffer from gigantomastia with 
future pregnancy/ies.
Is there treatment available to prevent recurrence?
HCPs who treated her during the gignatomastia experience  did not know to 
whom to refer her.

Perhaps you do.

All input welcome.

Thank you
Debbie Kali IBCLC BA
The Jerusalem Breastfeeding Center
Jerusalem   Israel
[log in to unmask]

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome