Hello Lactnet Friends,

I recently worked with a mother who reported difficulty removing milk via
pumping or hand expression from one of her breasts which has since been
diagnosed with invasive ductal carcinoma. Her doctor thought the cancer
might have caused extra inflammation in the breast which could have made it
harder to remove milk. I recommended reverse pressure softening and she
found that it worked when lying flat on her back. This seems like a rather
rare situation to encounter since most women with breast cancer either are
not breastfeeding or are not able to breastfeed much longer after their
diagnosis. I was curious if any of you have seen this in your practice or
if you have more information about what might cause the milk removal
difficulty - would it be edema due to inflammation of the breast, the extra
calcification inside the ducts, or something else. In this case, I expect
engorgement might have contributed since it occurred during the first few
weeks postpartum.

I was also wondering if you could share with me any tips you might have
about how to counsel mothers who are in favor of using Weston Price's
weaning plan - introducing egg yolks (soft boiled or raw) first, followed
by a baby gruel of brown rice, bananas, egg yolks, coconut oil, and whey or
raw milk. It seems to me that, aside from the food-safety concerns with raw
eggs and milk, this gruel probably wouldn't harm an older baby that was
ready to wean. What do you think? I was thinking of sharing information
about Baby-Led Weaning.

Also, what would you say to a mother who has successfully weaned several
babies using Price's recommendations who now wanted to use Price's Homemade
Baby Formula (a different recipe which has been discussed on Lactnet in the
past) on a much younger infant? I have a feeling I might encounter such a
situation soon and I would like to be able to sensitively counsel the
mother and help her to make an informed decision about what to feed her
young baby. I know the issues associated with Weston Price's breastfeeding
recommendations have been discussed on LactNet before so I was just hoping
to find a few new ideas about how to reach out to mothers who are big fans
of Weston Price and share accurate information with them in a way that they
are more likely to receive.

Thank you so much!
Sincerely,
Elizabeth Packard, CLC
Bellingham, Washington

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