Hoping someone has experienced this situation:  I am consulting a mother of a 27 week preemie.  This is her second baby.  At 20 weeks with her first pregnancy she noticed a lump in the right breast and it continued throughout her lactation experience, worsening with increased milk production. She saw a lactation consultant and was treated for a plugged duct without resolution which turned into mastitis. The area was a long hardened area following a milk duct that abruptly ended just before the areola. The area remained hard  and she got very little milk release from the area throughout lactation and weaned at 4 ½ mos.  Through weaning her milk supply the lump remained.  She had an ultrasound of the area and the MD determined it to be milk filled in which he aspirated milk 4 different occasions before it finally stayed the size of a quarter and maintained its size.  With this pregnancy the same has occurred and now 10 days postpartum with a milk supply of 10-12 oz in 3-4 hours she is experiencing the same long hard lump without release.  She states it is the same scenario as last time.  Heat/massage does not help, nor has ice.  I feel this may be a physical issue such as a narrowed/stenosed duct behind the areola. Mom is frustrated and is willing to do what it takes to resolve the issue.  I encouraged her to see her MD and maybe another ultrasound or MRI would help get a visual of the duct in that area.  She is considering drying the milk on that side if all else fails.  Anyone with any experience with this or suggestions please let me know.  Thanks!

 

Tammi Martin RN, IBCLC

Lactation Specialist

 

Children's Hospital & Medical Center

8200 Dodge Street * Omaha, NE 68114-4113

402.955.6152 * 402.955.3393 FAX

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We know children. * ChildrensOmaha.org <http://www.childrensomaha.org/> 

 



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