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Subject:
From:
Debra Swank <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 30 Mar 2009 18:01:37 -0400
Content-Type:
text/plain
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I've seen green milk twice, once in myself and once with a client.

Re: myself, this occurred approximately fifteen years ago when a somewhat 
experienced male OB-GYN (in his late thirties/early forties) in a small, rural 
area in another state apparently decided to attempt to manually express fluid 
out of my breasts during the breast exam portion of my well-woman exam.  I 
had been referred to him by an LDRP RN I respected - - she was pursuing CNM 
education as well as studying for the IBLCE exam back then.  I wouldn't see 
any of the other HCPs in town for my well-woman care, declining to assign my 
insurance coverage to practitioners with such abysmal cesarean section rates, 
etc.  Now in 2009, there are still no CNMs attending births at that facility.  

That MD's compression of my breasts behind the areolae was fast, all of two 
seconds long, and hurt enough for me to say, "Ow!" on the second side/left 
breast, which brought forth a tiny drop of greenish/brownish fluid and 
prompted a look of alarm on the physician's face.  He proceeded to culture it 
and send it off for analysis, the results of which were nothing out of the 
ordinary.  To date, he is the only health care provider who felt compelled to 
manually elicit milk from this woman who was then in her forties and who 
simply presented for a well-woman exam with no concerns that day.  I had 
last actively lactated from 1977 to 1980 with my second child.  His 
examination re: my greenish/brownish milk occurred sometime in the mid-
1990s.  

Regarding a client with green milk, approximately six to 8 years ago I was on 
weekend duty in a metro area hospital that provided half of our usual weekday 
staffing on the weekends, so the busy pace was particularly hectic.  I 
received a request to take a pump to mother in a psychiatric and addiction 
unit who was admitted after a month-long alcohol binge.  Her baby was over 6 
months old (I will not give the baby's exact age here), and I helped the 
mother learn how to use the pump.  All of her milk came out a thin, minty 
green - - several bottles worth.  I did lengthy teaching on FAE vs. FAS with 
both the mother and the staff re: ETOH in HM.  Had to rush back to the 
postpartum unit in another building on that campus, and have wished many 
times since that I had sent some of her watery, minty green milk to the lab.  
Have often thought about her and her baby.    

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