Peg,

I'm sorry I have no references to refer you to, only personal experience. My experience with a galactocele with chronic mastitis was that pumping exacerbated the problem - the mastitis stopped flaring up when I stopped working full-time. My guess is that when my baby nursed, a small amount of milk was able to move through the galactocele but with the pump it likely did not move at all. It was better when I could use a Symphony vs my Ameda Purely Yours. But, I could not get my insurance to cover the Symphony even under the ACA, because of the lack of evidence for this being a necessary tx. I don't know what to tell you as far as not stepping on the doc's toes, but that mom needs to get baby back to breast for the problem to improve, IMHO.

Maria Dentino, RD, CDN, CLC
Batavia, NY

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