Re: Leaking saline implants

[Guest guest]

HI Margaret!!!I could be wrong, but it seems to me that I've read that the leaking fluid can't get into the milk ducts. It also just doesn't seem possible.... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Leaking saline implantsTo: Date: Tuesday, August 17, 2010, 9:37 PM

Hello Ladies,

I got a call tonight from a public health nurse about a mom who was told by her physician not breastfeed because her saline breast implant has apparently ruptured. I don't have my resources with me just now. What information do any of you have to direct me to to share with this mom to take to her physician. I hope to see the mom tomorrow

How old is the baby? PHN says about 12 months old.

Thanks for any help!

Margaret Turano

Windsor, CA

[Guest guest]

It's just salt water! How can that be harmful to the baby? Totally different scenario if it were silicone leaking into the breast tissue.

Dee Kassing

Subject: Leaking saline implantsTo: Date: Tuesday, August 17, 2010, 11:37 PM

Hello Ladies,I got a call tonight from a public health nurse about a mom who was told by her physician not breastfeed because her saline breast implant has apparently ruptured. I don't have my resources with me just now. What information do any of you have to direct me to to share with this mom to take to her physician. I hope to see the mom tomorrowHow old is the baby? PHN says about 12 months old.Thanks for any help!Margaret TuranoWindsor, CA

[Guest guest]

Even silicone can't get into the milk. It has a molecular weight of around 14 to 21,000. And it would have to somehow get into the ducts. That physiologically doesn't make much sense.

Jan

It's just salt water! How can that be harmful to the baby? Totally different scenario if it were silicone leaking into the breast tissue.

Dee Kassing

Subject: Leaking saline implantsTo: Date: Tuesday, August 17, 2010, 11:37 PM

Hello Ladies,I got a call tonight from a public health nurse about a mom who was told by her physician not breastfeed because her saline breast implant has apparently ruptured. I don't have my resources with me just now. What information do any of you have to direct me to to share with this mom to take to her physician. I hope to see the mom tomorrowHow old is the baby? PHN says about 12 months old.Thanks for any help!Margaret TuranoWindsor, CA

[Guest guest]

Hi, Margaret,

I wrote a monograph on Breastfeeding after Breast and Nipple

Procedures with Dr. Eliot Hirsch (Hale, 2008). The rupture is

probably small and has been leaking for a period of time. To my

knowledge, saline is absorbed very readily into the lymphatic

tissues, but cannot penetrate the aveoli or ducts. Her milk will be

unaffected.

There are no studies (or reports) of problems with saline from

implant ruptures affecting the milk, but there is a good study by

Semple of the effect of silicone on the milk (none). Silicone does

not transfer into the milk (as Jan said because the molecular weight

is too large).

http://www.ncbi.nlm.nih.gov/pubmed/9703094

[Guest guest]

OK, I stand corrected! (Thanks for the explanation!) But even though salt molecules are much smaller and could perhaps get into the ducts by osmosis, I still don't see how saline is likely to cause trouble to the baby.

Dee

Subject: Leaking saline implantsTo: Date: Tuesday, August 17, 2010, 11:37 PM

Hello Ladies,I got a call tonight from a public health nurse about a mom who was told by her physician not breastfeed because her saline breast implant has apparently ruptured. I don't have my resources with me just now. What information do any of you have to direct me to to share with this mom to take to her physician. I hope to see the mom tomorrowHow old is the baby? PHN says about 12 months old.Thanks for any help!Margaret TuranoWindsor, CA

[Guest guest]

Dee, I think the only concern would be the (uneducated) theory that

the saline water would dilute the milk.

At 03:33 PM 8/18/2010, you wrote:

>

>

>OK, I stand corrected! (Thanks for the explanation!) But even

>though salt molecules are much smaller and could perhaps get into

>the ducts by osmosis, I still don't see how saline is likely to

>cause trouble to the baby.

> Dee

[Guest guest]

I agree-I don't think the milk ducks have the capability of absorbing the saline.

Gail Neuman RNC BSN

certified in high risk OB

home birth midwife and student nurse practitioner

Baby Your Way Midwifery Associates

801 N. Tustin Ave., Suite 305

Santa Ana, CA 92705

fax

[Guest guest]

I don't know the answer but I thought of a few more questions:

If salts from moms blood can get into the milk ducts, is there anything

preventing saline from getting into the milk ducts?

If so, what is the concentration of the saline?

If not, is it possible for the water of the saline to enter into the milk ducts,

causing the baby to get more watery milk?

How much saline are we talking about? If the sodium chloride is able to enter

the ducts, would it be the same amount as say when a mom has a blocked duct or

mastitis or more? there is a harmful level of saline for a baby...

Is there any way she could pump some milk for them to test?

Is there any way the saline could be removed from her breast by aspiration?

After 24 hours when you see her tomorrow, will there be any saline left for us

to worry about? : )

Saline can be harmful to infants at certain concentrations, but if it was a

small implant, it's probably not going to be much more than what the baby would

receive in a mastitis scenario or if a mom was saline irrigating a drained

absess.... in any case I wonder how much of it her body would eliminate on it's

own and how much if any will be left by her appointment tomorrow....

>

> Hello Ladies,

> I got a call tonight from a public health nurse about a mom who was told by

her physician not breastfeed because her saline breast implant has apparently

ruptured. I don't have my resources with me just now. What information do any

of you have to direct me to to share with this mom to take to her physician. I

hope to see the mom tomorrow

>

> How old is the baby? PHN says about 12 months old.

>

> Thanks for any help!

>

> Margaret Turano

> Windsor, CA

>