In a message dated 10/17/2005 10:06:09 PM Eastern Standard Time,  
[log in to unmask] writes:

Baby has  continued to grow well  nursing 
on the right breast.  I have  suggested moist heat for 15 minutes  prior to 
attempting to nurse  baby or pump and do reverse pressure  softening just 
before 
latching  or pumping or hand expressing.  I wondered  if a breast shell worn  
between feedings would help promote some leakage.   We tried  pumping while 
she 
was feeding baby, but didn't get much.  

Mom  would like to dry up the milk in the left breast.  Do you think   
cabbage 
would help?   The doctor will most likely tell her on  Thursday  that she has 
to give up breastfeeding entirely as he feels  that the breast will  never 
involute without this occurring.   This is contrary to what I have  read in 
Jack 
Newman's Ultimate  Breastfeeding Answer Book.



Mary Jane, I have a couple comments for your clients situation.  From  what 
you wrote that the baby is growing well with breastfeeding on the right  
breast, why would this mother need to wean if the left breast never  produces?  
Women don't need to breastfeed from both breast for one  baby.  
 
I am wondering why you are suggesting moist heat for 15  minutes prior to 
nursing or pumping.  That is a long time for a  moist pack to stay warm.  
Advising the mother to apply moist heat for about  a minute or two prior to nursing 
or pumping will assist milk flow, will be more  manageable for the mother to 
achieve and not lead to added edema to the breast  tissue.
 
If this mother is tired or the issues around the left breast and wants to  
wean that breast, follow with what she is saying.  She can always offer  that 
breast at an end of a feeding if the baby wants to take it or just totally  wean 
it.
 
Ann Perry, RN IBCLC
Boston, MA
 

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