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Subject:
From:
"Maya Vasquez, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 23 Mar 2010 13:23:49 -0400
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text/plain
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Dear all,

Permission to post:  
Patient is 4 weeks postpartum.  She is a primip, 40 years old, hepatitis C positive, otherwise healthy.  She is exclusively breastfeeding, and reports that her left breast has always been fuller than her right, but not uncomfortably so.  Last Friday she received a rubella vaccine in her left arm.  By Saturday  her left breast became extremely engorged.  Since then she had not breastfed on that side due to pain, but had been hand expressing milk from the left and bottle feeding it to the baby.  She reported that the milk smelled sour, which she then compared to the milk from the right which she says smelled fine.

She came to see us yesterday (Monday).  Left breast is much larger and fuller than right with swollen lymph nodes in left axilla.  I smelled the milk and didn't notice any sour smell.  During our consult she was able to latch the baby well to the left breast and stated that she was comfortable.

I'm assuming that this is just a localized immune response but am wondering if anyone has heard of this before.  Also, any explanation for sour smelling milk?  Mother is pretty worried.

Thanks so much for your wisdom!

Maya Vasquez, RN, IBCLC
San Francisco General Hospital

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