I had a mom who recently gave birth to her second child.  When her first was 6 months old, she began to experience painful joints, mostly hands but in other parts of her body as well.  Because of the pain which got worse, she saw a rhuematologist and all tests were negative although by the time she got in to see him, her symptoms were not at their peak..  After she weaned her daughter at 9 months, the pain went away.  Pregnancy occurred a month after that. Any guess of what they are asking?  The pain in her hands has come back now that her second child is here and breastfeeding.  I told her I wasn't aware of any correlation of a relationship between the joint swelling and pain with breastfeeding but that I'd throw out the question to all of you.  The fact that the pain stopped after weaning is a powerful convincer for them that there is a relationship somehow here.  My feeling is that it is coincidental.  This mom is in her early forties which is a prime time for autoimmune processes to crop up.  Anyone have any comment/ information?

Laura Walker RNC, IBCLC

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