Fw: Breast Implant Surgery Likely to Cause Breastfeeding Problems

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Forgive me if this was already posted....

Patty

----- Original Message -----

From: ilena rose <ilena@...>

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Sent: Tuesday, January 02, 2001 10:30 AM

Subject: Breast Implant Surgery Likely to Cause Breastfeeding Problems

> ~~~ Bravo, bravo. Thanks to Drs Lieberman and Zuckerman and The National

> Center for Policy Research for Women and Families for this excellent

> research. Please distribute it wide and far ... with the extreme marketing

> now of younger women and all the dishonesty being spread on the true risks

> of implants ... this will wake up many women to making such a life

changing

> decision. ~~~

>

>

> Breast Implant Surgery Likely to Cause Breastfeeding Problems

>

> December 2000 Breast Implant Surgery Likely to Cause Breastfeeding

Problems

>

>

> By Lieberman, Ph.D.

>

> According to the Institute of Medicine (IOM), any kind of breast surgery,

> including breast implant surgery, makes it at least three times more

> likely that a woman trying to breastfeed will have an inadequate milk

> supply (lactation insufficiency).

>

> http://www.cpr4womenandfamilies.org/#1

>

> 1 The IOM based that conclusion on a number of studies of women with

> breast implants or other breast surgery. A description of those studies

> follows.

>

> In a study conducted by Dr. nne Neifert and colleagues at the

> University of Colorado School of Medicine, women who had breast surgery

> were three times more likely to have lactation insufficiency than those

> that did not have breast surgery.

>

> http://www.cpr4womenandfamilies.org/#2

>

> 2 The doctors compared the rate of weight gain of breastfed infants born

> to mothers who either did or did not have previous breast surgery. Mothers

> whose babies did not gain at least one ounce per day, or who required

> supplemental feedings with formula, were deemed to have lactation

> insufficiency. Interestingly, the women who had breast surgery through an

> incision in the nipple area (periareolar incision) had even higher rates

> of problems. Those women were five times more likely to have insufficient

> milk compared to women without breast surgery.

>

> http://www.cpr4womenandfamilies.org/#3

>

> 3

> In a study by Hurst, RN, MSN, from Texas Children's Hospital,

> 64% of women with breast implants had lactation insufficiency, compared to

> 7% of women without implants.

>

> http://www.cpr4womenandfamilies.org/#4

>

> 4 Periareolar incision was most likely to cause a problem, but other

> incisions also made it significantly more difficult for women to

> nurse. A study by Dr. Sara Strom and others at the University of

> Texas M.D. Cancer Center looked at nursing rates among 46 new

> mothers who had previously received saline-filled breast implants.

>

> http://www.cpr4womenandfamilies.org/#5

>

> 5 Of those women, 28 chose to breastfeed their baby, but 11 (39%) had

> problems breastfeeding. Eight of those 11 had problems that they

> attributed to their breast implant. Seven out of eight of those women

> received their implant through a periareolar incision. Although this study

> did not have a group of non-implanted women to serve as a control, it is

> consistent with other studies that show that women with implants have a

> high rate of problems breastfeeding.

>

> Having breast implants also can deter women from attempting to breastfeed,

> according to Strom's study. When asked about the main reason that they

> didn't attempt to breastfeed their babies, implanted women who chose not

> to breastfeed said they feared lactation insufficiency and other

> complications due to the implants. It is not completely clear why

> breast implants cause problems with breastfeeding. One possibility is that

> the surgery may damage the milk-producing ducts. That is especially likely

> if the implants are inserted through a periareolar incision. Another

> possibility is that the breast implant may be putting pressure on the

> breast tissue, which could damage the breast tissue, and thereby diminish

> milk production. At this point it is impossible to determine whether

> the breastfeeding problems that implanted women have are due to the

> implant or the surgery. Either way, the end result is the same - women who

> have breast implants, especially if they have an incision around the

> nipple, are less likely to be able to breastfeed.

>

> In addition to the above problems which were revealed in empirical

> studies, there have been a number of case reports of women with breast

> implants having abnormal lactation or other breast problems such as

> mastitis (infection of the breast, which is usually caused by a bacterial

> infection), galactorrhea (breast milk production by a woman who is not

> pregnant and has not just given birth), or galactocele (a milk-filled

> tumor in a blocked breast milk duct) formation.

>

> http://www.cpr4womenandfamilies.org/#6

> 6,

>

> http://www.cpr4womenandfamilies.org/#7

> 7,

>

> http://www.cpr4womenandfamilies.org/#8

>

> 8,

>

> http://www.cpr4womenandfamilies.org/#9

>

> 9,

>

> http://www.cpr4womenandfamilies.org/#10

>

> 10,

>

> http://www.cpr4womenandfamilies.org/#11

>

> 11 It is impossible to determine how often those complications occur

> after breast implants, because there has never been a research study.

>

> There is consensus in the medical and public health community that breast

> milk provides essential nutrition for babies, in addition to improving

> their immune responses to infections. Breastfed babies have been shown to

> be less likely to have gastrointestinal disease, respiratory ailments and

> asthma, ear infections, and allergies. Some researchers believe that

> breastfeeding provides protection against obesity, arteriosclerosis,

> celiac disease, and other metabolic disorders. Other studies have shown

> that breastfeeding is beneficial to the mother as well, helping to create

> a psychological bond between mother and infant, aiding postpartum

> recovery, and helping mothers to more quickly return to their

> pre-pregnancy weight. It is therefore of considerable concern that breast

> implants - or the surgery to get them - may make it more difficult for

> women to breastfeed successfully.

>

> References:

>

> 1 National Academy of Sciences Institute of Medicine, Safety of Silicone

> Breast Implants, National Academy Press, Washington, D.C., 1999, p. 197

>

> 2 Neifert, M., DeMarzo, S., Seacat, J., Young, D., Leff, M., Orleans, M.,

> The Influence of Breast Surgery, Breast Appearance, and Pregnancy-Induced

> Breast Changes on Lactation Sufficiency as Measured by Infant Weight Gain,

> Birth, 1990; 17: 31-38

>

> 3 Of the 22 women who had breast surgery, only five had breast

> augmentation with breast implants.

>

> 4 Hurst, N.M., Lactation After Augmentation Mammoplasty, Obstetrics &

> Gynecology, 1996; 87: 30-34.

>

> 5 Strom, S.S., Baldwin, B.J., Sigurdson, A.J., Schusterman, M.A., Cosmetic

> Saline Breast Implants: A Survey of Satisfaction, Breast-Feeding

> Experience, Cancer Screening, and Health, Plastic and Reconstructive

> Surgery, 1997; 100: 1553-1557.

>

> 6 Deloach, E.D., Lord, S.A., Ruf, L.E., Unilateral Galactocele Following

> Augmentation Mammoplasty, ls of Plastic Surgery, 1994; 33: 68-71

>

> 7 Hartley, J.H., Schatten, W.E., Postoperative Complications of Lactation

> after Augmentation Mammaplasty, Plastic and Reconstructive Surgery, 1971;

> 47: 150-153

>

> 8 , P.E., Hanson, K.D., Acute Puerperal Mastitis in the Augmented

> Breast, Plastic and Reconstructive Surgery, 1996; 98: 723-725

>

> 9 Luhan, J.E., Giant Galactoceles, One Month after Bilateral Augmentation

> Mammoplasty, Abdominoplasty, and Tubal Ligation: Case Study, Aesthetic

> Plastic Surgery, 1979; 3: 161-164

>

> 10 Mason, T.C., Hyperprolactinemia and Galactorrhea Associated with

> Mammary Prostheses and Unresponsive to Bromocriptine: A Case Report,

> Journal of Reproductive Medicine, 1991; 36: 541-2

>

> 11 Menendez-Graino, F., Pena Fernandez, C., Burrieza, P.I., Galactorrhea

> after Reduction Mammaplasty, Plastic and Reconstructive Surgery, 1990; 85:

> 645-646.

>

>