It seems pertinent, given the mother's recent cancer history, to
extensively rule out the possibility of a cancerous tumor in the right
breast. Babies will sometimes refuse to nurse--or to take EBM from--a
breast that contains a cancerous tumor (the flavor of the milk can change).

Best,

Lex Beach, IBCLC
Northampton, MA


Date:    Fri, 13 Apr 2012 15:51:38 -0700
From:    Todd & Rita Madden <[log in to unmask]>
Subject: one-sided breast refusal

Hi all,

PTP.  G2P2 Mother of 9 month old is experiencing biting and pulling away
with some breast refusal on the R side that started 3 days ago.  She thinks
it started when baby bit her and she startled baby with a "no" to the baby.
 Baby will not bite L side and nurses very well on L side.  Baby will not
take milk pumped from R side either.  Mom states she was able to sneak baby
onto R side and sneak a bottle of EBM from R side when baby was very
sleepy.  She has also tried to start baby on the L side in cross-cradle
hold then slid her body to the baby to nurse on R side without moving the
baby at all but baby instantly pushed away.  Baby has 2 bottom teeth and no
evidence of new eruptions.  No recent illness in baby, is reaching all
developmental milestones, eats solids from the table three times per day,
nurses 6 times a day, takes 2 naps a day and sleeps 11 hours at night.  Mom
had cancerous tumor removed from kidney in December but is healthy
 otherwise.  No complaints of peau d'orange, lumps or breast tenderness.

I suggested she continue to try to offer the R side as she has been doing
and continue to pump to maintain her supply on that side.  What am I
missing?

Thanks for your wisdom and time.

Rita, RN IBCLC
Iowa

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