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Sun, 12 Nov 1995 22:00:31 -0500 |
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Dear Lactnetters:
I'm an LC in private practice (LLL leader from 1975 - 1988, IBCLC since
1987) in Dallas and I have been enjoying Lacnet for the last 6 weeks. I
have a question which came to me from a hospital based LC:
1st baby born 7 years ago. Mother leaked reddish colostrum from right
breaast during pregnancy and after birth,milk from right breast was reddish
in color. Mother chose to nurse only on the left and allowed right to
involute. She nursed for 4 months using the left breast only and weaned
when she was prescribed an antibiotic for a vag. infection.
After ceasing lactation she had several mammograms, all negative, and saw a
breast specialist who gave her no reason for the bleeding.
2nd baby born 11/9. During preganacy she again had reddish colostrum from
right breast but the quantity was much less than before. She planned to
nurse only on the left breast again but when she nursed infant soon after
delivery, the baby spit up red-tinged mucous. Mother then pumped both
breasts using a M----- classic and colostrum from both breasts was red like
tomato juice. Gram stain ordered by pedi was negative for intact rbc,
bacteria. Mammogram was negative. No test was run to confirm that this was
blood. Pedi said to go ahead and nurse and ob said she didn't think it was
a good idea. Mother was concerned about the safety of nursing for the infant
and is worried about what is causing it. She will see another breast
specialist on 11/16. Nothing is the mother's lifestyle (diet, etc. ) unusual
and mother had not had any trauma to the breast. According to Lawrence
text, bitateral intraductal papilloma would be unusual. Anyone else seen
this?
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