Weddingbee boards

I work in NICU, and part of my job is to assess breastfeeding, and to help people establishing breastfeeding.

I have found, that the biggest issue breastfeeding post-reduction is actually that, it seems that often during the reduction, milk glands can become disconnected from the ducts, and then those glands become engorged and painful because they cannot release the milk built up. This is risky because those glands can then become infected. Also, depending on the volume of glandular tissue removed, you might not be able to supply enough milk to exclusively breastfeed (you may need to top up with formula as the baby gets bigger and requires more milk).

It is really hard to tell how things will work out until about 1 week after a baby is born, because, for the first 3-5 days you only produce small volumes of colostrum, and then the milk starts to come in, and when the milk comes in, women often feel engorged and painful, so you would have to wait and see if there are fuller, lumpy areas on the breast after breastfeeding to know for sure. 

Also, we have in the past had moms pump and feed the pumped milk a few times if we are concerned about the volume of breast milk post-reduction, that lets us know how much is being made, and we can make an educated guess if that is enough to sustain the baby. 

Hope that helped a bit :0)