In a message dated 2/15/04 7:32:49 PM, [log in to unmask] writes:


> Date:    Sun, 15 Feb 2004 23:37:46 +0100
> From:    Renate Rietveld IBCLC <[log in to unmask]>
> Subject: Help needed with lactating breastcancer case
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> 
> HI All, I'm in need of your collective wisdom again....
> 
> A colleague of mine is working with a mother recently diagnosed with
> breastcancer.
> The info I'm giving is all I have. It was discovered 'in time' ?? She was
> induced with 38 weeks and delivered last Thursday.
> Plan of care has been made. Tumor removal will be in 14 days and after that
> she'll get radiation and chemotherapy.
> Until that time.......she'd love to breastfeed !
> 
> Questions asked: What are points of special attention, my colleague thinks
> that the engorgement will put extra pressure on the tumor ( I've given her
> info on management already )
> her question was if that could be harmful. She'd also like to know if
> there's an additional risk for mastitis and if the milkflow could somehow
> be disturbed by the growing tumor.
> 
> For now, everything seems to be OK but the breasts are 'growing' and
> engorgement is lurking around the corner alrready. The breast seems to be
> very painful as is.
> 
> Any and all input and wisdom are more than welcome. I've given her my
> knowledge but I'd love, value and appreciate your input as well !
> 
> TIA,
> 
> Renate Rietveld, IBCLC
> 
> Engorgement will clearly happen with or without breastfeeding so


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