Breastfeeding after breast cancer: One mother's story.
Breast cancer awareness month has come to a close. I'm sure that many of you know that breastfeeding can significantly reduce our risk of developing pre-menopausal breast cancer. Both my mother and aunt are breast cancer survivors, and this month I scheduled my first mammogram.
But what about women who are already breast cancer survivors by the time they reach their childbearing years? For some women it is indeed possible (for more information on it, check out recent posts on the topic at Breastfeeding 1-2-3).
I knew that breastfeeding after breast cancer was possible, but I'd never talked with anyone who had done it until this month, when another lactation consultant connected me with Paula, a mother of two boys who lives in North Carolina. She graciously shared her story with me, and I'm pleased to be able to share it with you.
One morning in 1992, at age 26, Paula leaned over as she was getting out of bed and felt a strange itch near her collarbone. Soon after she was diagnosed with Stage 1, intraductal breast cancer. She was lucky to have found it early, but it still required a mastectomy (and reconstructive surgery) of that breast. Her wedding was held six weeks after her operation.
In 1995 the cancer recurred on the same side. This time she had additional mass removed and opted for an experimental bone marrow transplant. After weeks in the hospital, she was told that her ovaries were destroyed by the treatments, that she would never have children, and that to prevent further recurrence she should have her ovaries removed.
Paula pushed her doctors to find a way to preserve her ability to have children. Eventually they agreed to the use of a medication which which shut down her ovaries while she took an anti-cancer drug for five years. When she stopped she was told that, at her age, it was unlikely that she would get pregnant.
But within 6 months, at age 35, she was pregnant.
She asked her doctors if she could breastfeed, and they were very positive about her prospects. They were also encouraging because of the reduction in breast cancer risk. Her only concern was whether she could produce enough milk for a baby with one breast.
But she remained committed, and recalls, "I was always very optimistic and positive. Given what my body had already overcome, I couldn't imagine that I would have problems with it."
When she delivered and baby was put on her chest she remembers a nurse saying "you've got great equipment for breastfeeding."
She nursed her first son on one breast exclusively for 6 months, when she weaned in order to prepare to become pregnant again, and nursed her second on one breast exclusively for 5 months before she had to stop due to illness. She had none of the common problems nursing mothers have (thrush, mastitis, soreness).
At first she wondered how it would feel to be different from the other mothers because she was feeding her baby on one breast. But it soon felt natural, and she recalls, "Sometimes I'd see mothers who nursed from both breasts flip-flopping their babies back and forth and I'd think, what a pain!"
Paula credits her success to a willingness to advocate for herself, but most of all to the support of her husband and whole family. "Having the support of my family," she says, "made me feel like there was nothing I couldn't do."


Thank you for the inspirational story! Wonderful to read how supportive the doctors were!
Posted by: LadyLMP | November 02, 2006 at 01:05 PM
Thanks! I thought it was a great story.
Another breastfeeding blogger, Andi at mamaknowsbreast.com, wrote to tell me about checkyourboobies.com, an organization founded by a woman who was diagnosed with breast cancer shortly after weaning her twins at a year old. The organization works to educate women about breast health in fun ways.
Posted by: Tanya Lieberman | November 02, 2006 at 02:31 PM
Paula from North Carolina is a very dear friend of mine, and over the years, I've come to realize what a brave woman she is. When you're 26, the last thing you think of is having cancer. When she told me of her diagnosis, I didn't understand the gravity of her situation. Now that I'm a 41 year old mother of 3 children, I look back on her ordeal and realize what a trooper she was and still is. She never had a "poor me" or "why me" attitude. She was always positive and upbeat. She is a true inspiration to me and to others who know her. Hopefully, her story will inspire others to self-examine their breasts starting in their early 20s, if not sooner and to realize that there is a fulfilling life after breast cancer. I also have to write that the support of her wonderful husband and her family was her rock and will be until she is 100 years old!
Posted by: asimon | November 10, 2006 at 09:19 AM
What a truly special story. I am sure it will give hope to many young women who have survived breast cancer or have just been diagnosed. I'm so pleased for Paula and wish her a lifetime of good health.
Posted by: Sinead@BreastFeedingMums | October 16, 2007 at 05:29 AM
Thank you for this story! I was 26 when diagnosed with Stage II BC, and I had to have chemo and a mastectomy on my right side. After four years of being terrified I'd never have children, I am in my third month of pregnancy with baby # 1. I fully intend to breastfeed and have been looking for stories from other women who did so with only one breast. For the record, my remaining boob is currently HUGE! I am hoping this bodes well for my baby's nutrition! Thanks again.
Posted by: Deb | August 25, 2008 at 05:53 PM