Defining Your Own Success: Breastfeeding after Breast Reduction Surgery
This book was written to enable mothers who have had breast reduction surgery to breastfeed their babies. It is generally thought that breastfeeding after breast reduction surgery is not possible. However, recent advances in breast reduction surgical techniques are now resulting in greater preservation of lactation capabilities. In addition to this, thousands of determined women who had been told that it wasn't possible have learned how to breastfeed after breast reduction surgery by...
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Exploring the many aspects of breastfeeding for a mother who has had breast reduction surgery, this first of its kind publication addresses questions and myths.
ForewordxiAcknowledgementsxiiiIntroductionxvDiana's StoryxxiPart IBefore Birth: Contemplating Breastfeeding after Breast Reduction SurgeryChapter 1Why Women Have Breast Reduction Surgery3Physical Reasons3Psychological Reasons6Making the Decision to Have Breast Reduction Surgery8Louise's Story9Chapter 2Before and After: The Effect of Reduction Surgery on the Anatomy and Physiology of the Breast11Anatomy of the Lactating Breast12Exterior Anatomical Differences of the Breast after Reduction Surgery17Physiology of the Lactating Breast19Effects of Reduction Mammoplasty Surgical Techniques on Lactation24Conclusion33Vicki's Story35Chapter 3Why Breastfeeding is Worth the Effort37The Wonders of Human Milk38The Living Biochemistry of Human Milk40The Nutrition of Human Milk44Protection Against Disease49The Functional Benefits of Breastfeeding49The Maternal Benefits of Breastfeeding51A Mother's Pride53Sarah's Story58Chapter 4What to Expect61So What Will Your BFAR Experience Be Like?61The Range of BFAR Experiences62Determining Your Lactation Potential62Research Findings63Baseline Lactation Capability66Combinations of Feeding Methods70The Effort and Rewards of BFAR73Patti's Story75Chapter 5Preparing to Breastfeed after Breast Reduction Surgery79What You Can Do before the Baby Is Born79Carol's Story94Part IIBaby Is Born: Maximizing Your Milk Supply and Developing Your Breastfeeding RelationshipChapter 6Birth and BFAR Mechanics101Ensuring a Good Start102Beginning to Breastfeed104Establishing Your Milk Supply109The Influence of the Hospital and Health Care Professionals116Tracy's Story119Chapter 7The First Month of BFAR123Nurturing Yourself123Tracking Your Baby's Progress130Evaluating Your Baby's Progress to Determine If Supplementation Is Necessary139Special First Month Concerns141Conclusion143Vanessa's Story144Chapter 8Supplementing147When to Begin Supplementation147Human Milk Substitutes153How to Supplement159How Much to Supplement160Supplementation Devices162Wendy's Story176Chapter 9Increasing Your Milk Supply179Psychological Techniques180Increased Demand Techniques182Galactagogues193Janna's Story209Chapter 10Breastfeeding Problems from the BFAR Perspective211Nipple/Areola Problems211Breast Problems214Baby's Problems217Mother's Problems227Overcoming Severe Difficulties232Conclusion233Misha's Story235Part IIIBeyond BFAR: Evolving Your BFAR RelationshipChapter 11BFAR and the Older Baby239How BFAR Changes as Your Child Grows Older239Supplementing the Older BFAR Baby242Weaning244Jenifer's Story247Chapter 12Emotional Issues249A Wide Range of Emotions250Common Emotional Reactions253Emotional Reactions to Specific Situations256Baby Blues and Postpartum Depression259Coping Techniques260Your Identity As a Breastfeeding Mother262Conclusion262Lara's Story264Chapter 13Defining Your Own Success267Exploring Your Feelings267Making Peace with Your BFAR Experience268Defining Your Own Success270Part IVThe Professional PerspectiveChapter 14Assisting the BFAR Mother from the Professional Perspective275All Health Care Providers (HCPs)275Plastic Surgeons277Obstetricians and Midwives279Maternity Nurses281Lactation Consultants284LLL Leaders285Pediatricians and Pediatric Nurses287BFAR Topics for Future Research290AppendicesAppendix 1Support and Resources293Appendix 2Weight Gain Charts301Appendix 3Assessment Chart305Appendix 4Relaxation Techniques307Appendix 5What to Have On Hand Checklist315Appendix 6Marmet Technique of Manual Expression317Glossary321Index325
