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I have a client who will be donating stems cells in December for her brother who has myeloma.
As part of her preparation she will need to have G-CSF (Filgastrim, granulocyte-colony stimulating factor) subcutaneous injections for 4-5 days prior to harvest which will take place over 5-6 hours. At the time of harvesting (in December) she will have an  8 week old baby-her third baby due in October. The transplant team coordinator has advised her to stop breastfeeding for the duration of the injections and 3-4 days afterwards. Mum has signifcant breastfeeding experience have exclusively breast fed baby number 1 born at 34 weeks and baby no. 2 diagnosed with Hirschprungs at 2 days, both babies breastfed until at least 18months old
Her concerns are-
Does she really have to stop breastfeeding?
What would the effect be on her baby if she continues?
If she has to stop how early should she start expressing to build a milk bank for the duration of stopping? She realises if she stops she will have to pump adn dump to maintain supply.
A big concern is getting her baby back to the breast afterwards-she is very comitted to breastfeeding and found significant benefit to feeding her son with Hirschsprungs.
Hale's catergorise it as L@
Any ideas, help, support will be welcome

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