Successful Breastfeeding With Breast Malformations

Faridi, M. M. A.; Dewan, Pooja

doi:10.1177/0890334408317618

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…It was seen that her underlying immature breast tissue was not fully damaged as her breasts continued to develop without major distortion into adult breasts, even though the nipple-areolar complex is lost. If breastfeeding occurs, there may be problems arising due to decreased sensation during infant suckling, decreased tissue elasticity of the nipple and areola to form a teat and the scarring could affect maternal self-esteem, confidence and her ability to breastfeed which could hamper the milk-ejection reflex [15].…”

Section: Discussionmentioning

confidence: 99%

Impact of childhood burn injuries on breastfeeding: a case report

2019

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Background Pre-pubescent girls with chest burns are at risk of complication associated with scarring and impairment in breast development. This case illustrates how burn injuries in childhood in a first-time mother have affected her in terms of breastfeeding. Case presentation In May 2015, a 20 year old first-time mother at 36 weeks gestation was seen in a district health clinic in Kuching, Sarawak in regards to her ability to breastfeed. She had a history of a flame burn at the age of 5 years old to her chest, abdomen, upper limb and part of her trunk. A skin graft was done on her whole chest and abdomen. Despite the injuries, she had pubertal and antenatal breast development. Her abdomen was able to stretch to accommodate her pregnancy. Physical examination showed a pregnancy which corresponded to date. The skin over her chest and abdomen appeared tight with areas of hyperpigmentation and hypopigmentation due to scarring from the skin graft. Breast tissues were palpable over her chest. The areola and nipple tissue were completely absent with complete scarring of the nipple-areolar complex. There was no duct opening to the areola for milk expression or leakage. Counselling regarding her breastfeeding issues was done. She delivered her baby at full term via spontaneous vaginal delivery with no complication. Oral cabergoline 1 mg was given on the first day postpartum. The baby was given infant formula via bottle feeding as the feeding method of choice. Conclusion Counselling plays an important part in the management of a mother with breastfeeding difficulty. Allaying the possible guilty feelings of not being able to breastfeed will fulfil the emotional gap which may arise in a mother with these challenges.

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Section: Discussionmentioning

confidence: 99%