Catherine,
This is the first case of this type that I've run across, and I did
exactly what you said: I examined her, reviewed the history, then
explained to her my conclusions. She is a nurse and was very appreciative
of the explanation, and in fact seemed quite relieved at my suggestion to
stop using that breast completely and just concentrate on the other one.
I've never done such a thing before, but at gut level it felt
appropriate. This mom is a sales rep for a medical supply company and
under tremendous pressure to work on her sales at only 2 weeks
postpartum. She also has a very active 3 yr old and was stressed to the
max, and I could tell that she could handle very little more. It was my
judgment that testing that breast further might throw her over the edge,
especially as I had great reason to suspect that we weren't going to
change what was going on anyway, and so I opted for the easiest route for
her. She immediately relaxed at the suggestion, and though she had
difficulty with the pumping regime to build her milk supply all the way
up on her "good" breast, she has persevered and is within one or two
weeks of getting off of supplement all together. I learn something new
with each case.

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Lisa A. Marasco, IBCLC                                /  [log in to unmask]
International Board Certified Lactation Consultant    /  [log in to unmask]

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