There are some occasions where breastfeeding may not be advisable - these include:
• Breast reduction surgery - many women have managed to breastfeed following surgery, although success is not guaranteed. It is important to speak to your surgeon to find out how destructive the surgery will be around the nipple area. This will determine the possibility of future breastfeeding. Breast reduction surgery almost always involves moving the nipple to a new position and if great care is taken, most of the milk producing ducts can be saved. Whatever happens, you will need support and information and should be prepared for some problems along the way.
• HIV positive status - although research is ongoing. Some studies have shown that a baby, born to an HIV positive mother, who is exclusively breastfed (no introduction of formula feeds for the first six months of life), has a better chance of becoming HIV negative as his immune system matures.
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