In a message dated 5/1/03 10:49:23 PM Eastern Daylight Time,
[log in to unmask] writes:

> >I am seeing a mother of twin boys who are now almost 3 months old. She is
> >BFing beautifully and also pumping to give herself a break once a day.
> >Weight gain good. One baby is a much stronger nurser than the other (they
> >were born 36 wks.)
> >Her problem: repeated engorgement of one breast.
> >
>
> Dear Gerri:
>     Several years ago, at a conference at Rush-Presbyterian Medical Center
> in Chicago, IL, USA, about breast cancer and breast surgery and their
> effects
> on breastfeeding, one of the speakers mentioned that unexplained unilateral
> engorgement can be a symptom of breast cancer.


In addition to Dee's important consideration of potential breast Ca s/s, how
her two babies rotate/alternate (or not) breasts may influence breast
fullness. Is there a pattern to the repetition of the engorgement, e.g.
certain days, certain time of day, activity (missed or postponed
feeding[s]/pumping within the 24 hours prior, etc.? When/how does she use her
EBM to give herself a break; does it vary or is it exactly the same day to
day? With production doubled for twins, some MOM seem more sensitive to
shifts in BF/pumping "routine."

Karen

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