In a message dated 7/1/2007 1:13:42 AM Eastern Daylight Time, 
[log in to unmask] writes:

The situation has left me curious.  If you had a mother present with refusal
of one side by the baby, and there was no obvious sign of problem, would you
warn that this can be a sign of breast cancer and that, while many mothers
and babies have no problem and happily one feed, it's worth knowing what to
look for?

Dear Friends:
    Suzie from Australia poses this question.
    An answer is that while breast refusal (also known as Goldsmith's sign, 
known to radiologists and discussed by Saber in 2 published studies) is a 
warning, we have to be careful about how we discuss this with mothers. There are 
many reasons for breast refusal that need to be explored before considering 
Goldsmith's sign.
    If the baby will take the milk from that side, that is good.
    If everything has been tried and the baby still refuses, then we can tell 
the mother something like "Your baby is telling us something that needs to be 
checked out more than I, your LC, can do. " And encourage her to see her 
physician.  We ourselves can call her physician about our concern, being specific 
about Goldsmith's sign.
    warmly,
    
 

 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
_http://www.breastfeedingalwaysbest.com/_ 
(http://www.breastfeedingalwaysbest.com/) 
www.myspace/AdonicaLee



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