Hello all: 
A bit off topic but related.
I've had a client very concerned about a small lump in her breast since birthing her third baby 8 months ago. No one local would do a mammogram on a lactating woman. Referred to an breast/oncology clinic in Seattle I'd heard would perform. Client says they reviewed her ultrasounds but wouldn't perform a mammogram on her due to reassuring US and the fact she's lactating. 
So, HOW do we get a woman diagnosed with breast cancer while lactating?
Melinda Harris-Moulton ARNP, aiBCLC
Olympia, WA


Sent from my iPad

> On Aug 28, 2015, at 2:28 PM, Rachel A Miller <[log in to unmask]> wrote:
> 
> I've read all achived posts on anything remotely related to this topic. Although few in number, I found them very helpful. However, they didn't address a couple of questions.
> 
> background: I've been contacted by a cancer navigator that is working with a mother currently nursing and she has been diagnosed with invasive ductal carcinoma. The infant has just started some solids, but nursing full time. The navigator called me with concerns about the mom researching the possibility of intermittently not breastfeeding between chemotherapy dosing r/t 1/2 lives, etc. 
> 
> 1. What recommendations would there be r/t pumping supplies that come into contact with her milk during the time she is expressing and discarding it? Such as a) cleaning guidelines,  b) equipment storage between equipment uses, I'm assuming it would be recommended to store pump flanges/bottles high out of potential reach/contact with toddler and other family in the home. Is the concern just during the discarding time or would you recommend she discard all those 'contaminated' supplies? 
> 
> 2. What recommendations have you heard related to contact precautions to prevent infant contact with potential leaking while holding infant during normal mothering care (in the time period of recommended discarding milk). 
> 
> Mom is aware that her supply will probably diminish as a normal effect of the chemotherapy's caustic nature.
> Other recommendations are very welcome.
> 
> Rachel A. Miller BSN, RN, IBCLC
> 
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