You might try looking this up on Lactnet archives. I believe this may
indicate some sort of breast infection. Diane Wiessinger posted on this
months ago, I believe.
Search mucous in Lactnet where sender contains baka
To
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Will get you that search, I believe. I hope I have that correctly
written out.
I would try adding flow at the breast with a lactation aid. It would cut
out a step for this mother, who has too much to do with pumping and
bottlefeeding. Watch that the baby tolerates this in terms of
coordinating suck/swallow. For a good description of using a lactation
aid, see www.breastfeedingonline.com, Jack Newman MD's articles. Also
gentle breast compression might help. Kathleen
Kathleen Bruce RN IBCLC
Independent consultant: Breastfeeding Clinic of Vermont, Lactation
Resources of Vermont, Medela, Inc.
Listowner Lactnet listserv
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-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of The Youngs
Sent: Tuesday, January 06, 2004 8:53 PM
To: [log in to unmask]
Subject: Re: Interesting Question
Dear Friends,
I have a question I've never heard before.
Background: I have been phone helping (LLL) a mother whose baby was
born Dec 19, at 33 weeks gestation and 3lb 5oz. She began pumping
immediately and produced well. The baby was released on Dec 24th at 3lb
12oz. The mother has been putting the baby to breast first (about every
3 hours), then giving a bottle of expressed breastmilk (about 1.5 to 2
oz), then pumping (about 1.5 - 2 oz). She takes a 4-5 hour break at
night. The baby is gaining well (4lb 5oz on Jan 2nd), but the mother
does not feel like the baby is getting much if anything from the breast.
From the way she describes it, it seems like mainly flutter sucking with
little nutritive sucking. The baby pushes the mother's finger out of
her mouth when she tries to let her suck on it.
Question: Today the mother said she noticed "mucous" in the milk when
she pumped. She is very firm that this is mucous, clear, "just like
comes out of your nose". She said she had about an ounce of mucous in
the milk. She says that she has no breast pain, no fever, no red areas
on her breast, no places that are firmer than others, she did state that
the underside of one breast is a little warmer than the rest. She has
had some sore nipples, one nipple is inverted and that side doesn't
produce as much. She called the LC at the hospital, who told her she'd
never heard of such a thing. I told her about Lactnet and she was
delighted for me to ask all of you.
The mother is extremely concerned because she is just barely staying
ahead of the baby's needs and doesn't want to throw away any milk.
However, she is very concerned about the safety of giving this to her
baby. I reassured her, but it didn't help that the lady at the herb and
alternative medicine shop told her it was "Toxic!"
Have you ever heard of a mother producing so much of what appears to be
mucous? Is it mucous? Any ideas at all? Any suggestions for helping
this baby do better at breast (I've suggested cross-cradle, the dancer
hand position, basic latch and positioning - babe does best in the
football hold).
Many thanks!!! I know if anybody knows, you will :-)
Melanie
Melanie Young, B.S., IBCLC, LLLL
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