When I was working with a mother considering breastfeeding between 
rounds of chemo, Dr. Jack Newman told me that his experience had been 
that chemo reduced milk production. Chemo poisons rapidly growing cells, 
breast tissue in a pregnant or lactating woman has high metabolism and 
cell turnover, so it would be more affected than less active tissues.

Mom can certainly try breastfeeding, but she might have difficulty 
between the radiation injury to the breast and the chemo injury, and her 
having twins...

I'm well familiar with working with moms in "impossible" situations. 
You've done your research, now just keep giving her emotional support, 
optimize the things you can control, and help her create lots of demand 
to get the breasts working to their best capacity!

Catherine Watson Genna, BS, IBCLC  NYC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome