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Subject:
From:
Price Pamela B <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 27 Jan 2004 16:46:26 -0600
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First, I want to thank all of those who responded so quickly and thoroughly
to my request for info on Tc99- Mebrofenin.  I looked into all the resources
that were suggested and compiled info to give to my patient. I advised her
to consider the information from the resources that I collected (thanks to
Lactnet friends!)  After reading the info I gave her she decided to keep her
milk  to be fed to her baby later.  (she had been dumping it until I came
along yesterday and suggested she save it and let me look into it.)
 The mother is doing well and she is now nursing her baby when the baby is
here, she waited 30 hours after her nuclear study, (5 half lives)  This may
have been longer than necessary but the baby was not in the hospital with
her anyway and mom had expressed milk at home.

Mom said, without the information that she received, she would have dumped
over 72 hours of breastmilk and not nursed her baby at all during the 72
hours.  She also would not have been as consistent with pumping since she
would have felt like it did not matter since it could not go to her baby and
in all probability her supply would have suffered at least some.  She was
very happy and appreciative.

  Second, Mardrey asks:    Is the suggestion to pump based on the assumption
that
the mother's breast will fill and be uncomfortable in the 12 hour time
period,
or is there another reason to remove milk from the breast during the twelve
hours?

For this patient, she pumped to keep up her milk supply.  She ended up
having surgery so she was in the hospital away from her baby and her baby is
10 weeks old.  The mom had enough milk saved up prior to the procedure just
by chance. She was suppose to start back to work on the day she was admitted
to the hospital, so she had pumped and saved plenty of milk.  Her concern
was that she would deplete her stored milk supply if she could not save any
of the milk that she was pumping now.   Also, there was the concern that her
supply would begin to decrease.  In our hospital we offer loaner breast
pumps to moms who are admitted to any area and are breastfeeding if their
baby will not be staying with them., to help them keep up their milk supply
and so they can send the milk home to baby.

Thanks again!

Pam Price IBCLC, CBE
Lactation Services Coordinator
Women's Health
Trident Health System
9330 Medical Plaza Drive
Charleston, S.C. 29406
(843) 824-5013 office
(843) 728-9640 pager

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