I have been contacted by a mother who recently moved to the Dominican Republic.  We have a prior relationship from when she still lived in my area.  I am not sure of the resources there... I am hoping to gain insight from any IBCLCs in that area!  Her mother was diagnosed with breast cancer three years ago, so this is concerning to her.  I have permission to post.

"When we first arrived, I was having the early symptoms of mastitis and luckily there was an OB doing medical missions with us at the time, and I was able to put on an antibiotic to clear that up.  At the same time, I felt a mass in my right breast right behind the nipple.  We thought it was a plugged duct, so with breastfeeding, I was also pumping that side to try to get it to release.  About a month ago I had an ultrasound done by an American general surgeon, because the mass is still there and has not gone down in size (about the size of a shooter marble).  From what he could see and feel it is symmetrical and mobile; however, he did not want to mess with it since I am breastfeeding, and said that it could cause bleeding.  I'm not having any problems with transferring milk, but my question is what would you recommend me doing?"

This is obviously out of our scope of practice, but hopefully, I can point her to an appropriate resource.  Does anyone know a breastfeeding-friendly specialist in the Dominican Republic?  Thank you in advance!

Trish Wierenga, BSN, RN, IBCLC

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