It has been a long week and I cannot believe all the different bf issues that have come across my desk. A quick reminder, I am a CLE who works at a WIC clinic in Salem ,Or. as a bf educator and a hard fact of life has become apparent , for many of my clients I am the only source beside LLL available for bf help and counseling. In my area another insurance carrier dropped lactation services and the bad news is that this is becoming the rule not the exception. This week beside my routine calls, I have seen a 15 yr old mom who has bf her baby for the last 2 months on only one breast and is tired of being loopsided . She requested help getting the baby to take the other side or she wanted to wean. We will meet in my office in the morning, I hope I can help. This morning I meet an 18 yr old pregnant woman who came in with her mother to be certified for the program. When I asked her if she was interested in bf her baby she told me it was not possible because she had breast reduction surgery at 15 at the advice of her ped. The surgery was suggested because she was a size 38DD and he said that breast that large can cause serious health problems. The plastic surgeon told her that she would not have any trouble during a pregnancy and not to worry because they could give her a shot to dry up the milk after the baby was born. Well, she is in her 12 week and the breast have returned to 38DD. It has been 3 years since the surgery and the medication to dry up the milk has been found unsafe. Now she wants to know what to expect after the baby is born. I told her I would do some research and get back to her. I need some help. Does anyone know something they could share? My knowledge is limited in this area. Help! Well, it has been one of those weeks and Monday was a holiday and Friday is tomorrow. Pat Gorman CLE [log in to unmask]