USMLE Forum Archives - USMLE Step 2 CK - obgyn
obgyn
conym5 - 03-11-10 09:23
29-year-old woman comes to see you in the office asking about breast implant surgery ,during the same visit, she also expressed her concerns about breast-feeding the baby. She is concerned that some of the silicone will be admixed with the breast milk and cause adverse effects. Which of the following is the most appropriate response?
conym5 - 03-11-10 09:23
29-year-old woman comes to see you in the office asking about breast implant surgery ,during the same visit, she also expressed her concerns about breast-feeding the baby. She is concerned that some of the silicone will be admixed with the breast milk and cause adverse effects. Which of the following is the most appropriate response?
The correct answer and explanation will be available after you answer.
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#4
Re: obgyn
conym5 - 03-11-10 20:30 breastfeeding after the procedure could depend upon the type of the surgery and the incision site. Peri-aeroral, made around aerola, incision is believed to be the most risky of all...
#6
Re: obgyn ammulufy - 03-12-10 20:38 My answer is: a.
Its true dat Silicone in d breast milk can cause diarrhoea in d baby.....moreover d mother can go for d breast implant surgery after she completes her reproductive function bcos at any point of time breast feeding is not only beneficial for d baby but also for d mother.
#16
Re: obgyn mtniharika - 04-30-10 08:31 My answer is: d.
In terms of risks to the baby, neither silicone nor saline are in the milk, so the baby should not experience any problems due to the implants.
#17
Re: obgyn bingousmle - 05-04-10 07:13 My answer is: d.
breast implant surgery should not carry the risk of silicone will be admixed with the breast milk and cause adverse effects hence There is no risk in breast-feeding
#22
Re: obgyn babbu5508 - 05-20-10 02:39 My answer is: d.
There's no evidence that silicone from silicone implants leaks into breast milk, but even if it did, it probably wouldn't harm the baby.
#31
Re: obgyn philomena - 07-10-11 04:12 My answer is: d.
Studies have shown that silicone molecules are too large to pass into the milk ducts and breast gland tissue.
#39
Re: obgyn usmleus - 09-08-11 16:58 
posted by usmleus on 09-05-11 16:52
[ANSWER d]
[ANSWER d]
It's likely, but it depends on the kind of surgery you had. Incisions made under the fold of the breast or through the armpit shouldn't cause any trouble. The most popular method, making a "smile" incision around the areola, puts you at greater risk for problems.
If the nerves around the areola were not cut or damaged during surgery, you may be able to nurse fully or partially. Nerves are vital to breastfeeding because they trigger the brain to release prolactin and oxytocin, two hormones that affect milk production. Your chances of breastfeeding also improve if your milk duct system is intact.
There's no evidence that silicone from silicone implants leaks into breast milk, but even if it did, it probably wouldn't harm your baby. Silicone is very similar to a substance used to treat babies' stomach gas.
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