Deann writes:


Does  anyone have any experience with this situtaion? I recently 
encountered a  mother with a history (5+ years ago) of breast ca in one breast with  
lumpectomy x2 and radiation. The other breast was unaffected. She was told  
that she would not produce milk from that breast and had only been pumping 
one  breast. Baby is sick and in the NICU (and will be for a long time). Mom 
has  other risk factors for decreased supply. 

I encouraged her to  pump both breasts to see what she might get. 
~~~
A mom with his history and I worked together last year. We met once before  
the baby came so we could talk about the commonalities and the differences  
between what might be her experience and what most mothers might 
experience.  When baby arrived, she elected not to pump the breast that had the all 
the  "events" happen to it. It had not changed in size or shape at all during 
the  pregnancy, so she felt it would not be useful. (I think if her affected 
breast  had shown any sign of responding to her pregnancy, she would have 
done at least  some early pumping to see what might happen.) She had a little 
baby who had his  own sucking issues, and ended up pumping and 
supplementing as needed after he  would breastfeed but not be satiated. Her one breast 
produced plenty of milk and  in time the baby's breastfeeding skills got 
better. In her case, that one breast  was plenty to make a nice breastfeeding 
relationship for both of them. Hope that  helps.
Peace,
Judy

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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