I think it is very unwise for lactation counsellors to advise a woman to 
wait for a medical procedure such as this.
However, she should certainly investigate why she was told to stop 
breastfeeding.  If the chemicals used for anesthetic or for removal of the 
mole are not safe for the babay (and don`t forget this lesion is very near 
the nipple) she could focus on expressing and storing sufficient milk in the 
days before the procedure, pumping and discarding the milk during the short 
time that it takes for any medications to be excreted from her system, while 
the baby gets her expressed milk - this will keep her supply going until she 
can return to fully breastfeeding.
I have had this experience with clients whose babies rejected their milk 
after dental treatment using local anasthetics so in future dental 
treatment, they took that precaution and successfully resumed breastfeeding. 
In those cases the effects of the dental treatment were unpredictable so the 
women did not discard their pumped milk, just tried it a little at the time 
to see if the baby was happy with it.
But any suggestion for this woman to delay removing the mole is 
irresponsible.  I hope it is totally benign or even an extra nipple, but it 
is not up to us to make that diagnosis.
Wendy Blumfield
NCT Trained Prenatal Tutor/Breastfeeding Counsellor
Israel Childbirth Education Centre 

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