Hello, All:  I've worked with several moms over the years with one 
involuted breast, all of whom successfully nursed babies well over a year 
on essentially one breast.  As Renee so succinctly put it, "if it ain't 
broke, don't fix it".  We were never able to discover why in each of these 
mothers they were not producing milk in one breast.  One mom in particular, 
was very concerned about being "even" and struggled (and fought) with her 
baby for 7 months before she finally gave in and accepted that she was 
destined to be lop-sided.  Her baby grew beautifully on that one breast and 
they went on to happily nurse for 18 months.
I have always been very careful about pushing pumping and other technology 
on mothers in these types of situations.  I feel pumping contributes to her 
feelings of failure as well as fosters obsession about how much milk she is 
getting (or not).  As long as baby is growing/developing normally, I 
encourage the mother to enjoy the particular nursing relationship she and 
her baby have developed.  Who cares if it's different than what the books 
say or what other mothers experience?

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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