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Date: | Sat, 17 May 2008 20:14:19 -0400 |
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My workmate, Robyn [IBCLC], has been asked by a mother to tell her whether
it is worth continuing to express for her 10 wk baby, She is an inpatient, not in
maternity, but is keen for some professional comment. Read the story from
Robyn and some feedback would be really appreciated.
'Yesterday i reviewed a 41yo mum with lymphoma who has a 10week old baby.
He is A/F at present and receiving care from his grandma while mum is
receiving chemo. She is currently expressing TDS with a yield of 15ml EBM at
each pump. That is, a total yield of 45ml/24hrs. The next stage of treatment
entails an autologous transplantation of stem cells which will include further
chemotherapy, total body irradiation and blood transfusions over a period of 1
month or so. Her question was should she maintain her hope of breastfeeding
again by continuing to maintain a supply by pumping or accept that future
breastfeeding is out of the question. IE Refocus on other issues of her life.
Due to the fact i have not encountered the above issues in my previous
practise, i asked her to allow me a day or so to do some research and to
consult with other IBCLCs, before returning to her. Have you encountered any
similar cases and what would you consider to be the optimal course of action
in this situation?'
Thank you for advice - Cath Williams for Rob and the mother.
Sorry if this shows up twice - I thought I sent it yesterday but must not have
clicked the send button...
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