Robin,
I agree with Beverly's assessment, and would especially be suspicious of
sexual abuse. In addition, be aware that such abuse and related trauma
may be repressed, and nursing her baby and feeling anger may be the first
symptom of such a repressed incident. If the mom is screened for this
history and it is apparently negative, I would suspect repression and
refer her to a mental health professional. I am not sure of exactly how
to handle this, but I would probably be tempted to tell her candidly that
her feelings are not normal, but are there for a reason that deserves to
be explored and should not be ignored.

An excellent book describing these issues is "Pain and Pretending" by
Rich Buhler.

-Lisa

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Lisa A. Marasco, IBCLC                                /  [log in to unmask]
International Board Certified Lactation Consultant    /  [log in to unmask]

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