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Date: | Mon, 30 Mar 2009 18:01:37 -0400 |
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I've seen green milk twice, once in myself and once with a client.
Re: myself, this occurred approximately fifteen years ago when a somewhat
experienced male OB-GYN (in his late thirties/early forties) in a small, rural
area in another state apparently decided to attempt to manually express fluid
out of my breasts during the breast exam portion of my well-woman exam. I
had been referred to him by an LDRP RN I respected - - she was pursuing CNM
education as well as studying for the IBLCE exam back then. I wouldn't see
any of the other HCPs in town for my well-woman care, declining to assign my
insurance coverage to practitioners with such abysmal cesarean section rates,
etc. Now in 2009, there are still no CNMs attending births at that facility.
That MD's compression of my breasts behind the areolae was fast, all of two
seconds long, and hurt enough for me to say, "Ow!" on the second side/left
breast, which brought forth a tiny drop of greenish/brownish fluid and
prompted a look of alarm on the physician's face. He proceeded to culture it
and send it off for analysis, the results of which were nothing out of the
ordinary. To date, he is the only health care provider who felt compelled to
manually elicit milk from this woman who was then in her forties and who
simply presented for a well-woman exam with no concerns that day. I had
last actively lactated from 1977 to 1980 with my second child. His
examination re: my greenish/brownish milk occurred sometime in the mid-
1990s.
Regarding a client with green milk, approximately six to 8 years ago I was on
weekend duty in a metro area hospital that provided half of our usual weekday
staffing on the weekends, so the busy pace was particularly hectic. I
received a request to take a pump to mother in a psychiatric and addiction
unit who was admitted after a month-long alcohol binge. Her baby was over 6
months old (I will not give the baby's exact age here), and I helped the
mother learn how to use the pump. All of her milk came out a thin, minty
green - - several bottles worth. I did lengthy teaching on FAE vs. FAS with
both the mother and the staff re: ETOH in HM. Had to rush back to the
postpartum unit in another building on that campus, and have wished many
times since that I had sent some of her watery, minty green milk to the lab.
Have often thought about her and her baby.
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