> Hi all.  I have a pregnant client who would like to bf.  She had breast
> reduction surgery when she was 19.  She is now 34 - first pregnancy.
> Her plastic surgeon told her "not to even try to breastfeed because she
> will suffer breast infections due to the state of the milk ducts."
> The mother does not have a lot of scar tissue although the nipple was
> moved.  She claims there is some sensation in the nipple area.  The
> doctor told her that he "folded"
> (I'm translating from Hebrew - maybe "tucked") the milk ducts.  He says
> he didn't cut them.  I've never heard of this before.  I am encouraging
> her to try nursing even if we need to eventually use an SNS.  I'm just
> puzzled by this surgical procedure and wonder what will happen if she
> suffers from engorgement if the breasts can't be milked properly.
> I had something similar happen a few years ago.  The mother in that
> situation had a bad case of engorgement because she couldn't empty the
> breasts. (Mom was burned in an accident as a child and has no nipples.)
>
> Any ideas?  Thanks.
>
> Susan Nachman-Srebrnik, IBCLC
> Ranana, Israel
>

Susan,

Are you familiar with the BFAR list (Breastfeeding After Reduction)?
You may get some answers to this question on there.   I have a friend
here who had an ultra sound done on her breast to assure that there
were indeed intact milk ducts.  She also was producing colostrum from
about the 4th month on.

You can contact Carol Maranta at [log in to unmask] for more
information on the BFAR list.





>
Michelle Leifur Reid
LLL Leader
Pensacola, FL
http://www.geocities.com/Heartland/Meadows/4804