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From Shani: I
have had quite a few women write me
privately with concern as to when
they started to re-lactate, the
liquid that is coming out has ranged
anywhere from a grayish-green color
to a very dark brown. Is this normal
and will it eventually turn to the
actual color of milk?
DrJim posted this
response on our message forum:
Thoughts about the
color of milk-
Fluid discharge from the breast can
be clear watery, milky white,
green/brown/dark or red.
When inducing there is going to be a
period of time, perhaps a week or
more, when the breasts feel swelled
and heavy like they are full of
something but nothing comes out. At
this point the alveoli are turning
on. They start producing some of the
components of milk. These components
draw water into the alveoli across
the cell membranes which brings in
the fluid component of the milk.
When this is occurring, if you are
pumping, you will begin to express a
clear watery substance. Milk is not
far behind. When you have just
delivered a baby and your milk comes
in this clear watery substance that
precedes the milk is your colostrum.
Red is always a sign of concern. It
usually means blood. This can be due
to breast trauma, even from a rough
pump perhaps, but cancer in the
breast is always a concern and
warrants an exam by your physician.
Brown and green and most of the
other colors is due to what happens
when the breasts stop lactating.
This can occur over years even. When
lactating the ducts are turgid and
open. Milk flows through them etc.
When breasts go through the reverse
process called involution, the
alveoli shut down, stop working.
Many of them turn to fat. The ducts
collapse, in some segments fluid
behind these ducts cannot pass and
collect in little pockets. The cells
lining the duct system die and shed
into this fluid. It is these dead
cells and debris that colors this
fluid green and brown. The breasts
can feel lumpy and cystic due to
these little trapped pockets of
fluid. This is called fibrocystic
breast disease with breast exams and
mammograms.
So if you are inducing and get some
green-brown fluid it is related to
some fibrocystic process in the
breasts. Here is the good news;
Inducing lactation is a very good
way to reverse fibrocystic breast
condition. Many women with inducing
can get rid of the lumpiness of the
cysts in their breasts after some
time. The ducts always collapse
eventually after lactation stops.
Even after a delivery, when their
milk comes in many women experience
some "plugged ducts" that have milk
backed up behind them and they must
massage gently to get the ducts
open. This experience often occurs
during induction as well, requiring
massage to correct because when
inducing the ducts undergo a process
of reopening up.
Generally brown green is not a
problem but just indicates the
breasts have been "out of use" for
some time and a great thing to do to
correct the situation is to induce
lactation.
Here are a couple of
additional thoughts on the subject;
Cysts are always
dilated segments of the ducts that
alternate with the collapsed
segments. The green fluid is in
these cysts. When lactating the
ducts are turgid, open, round and
springy. When not lactating they get
flacid and collapse. When inducing
the Prolactin causes the cells in
the ducts to start swelling and get
turgid again so that they reopen.
Typically when inducing nothing will
come out for days and weeks, then
when a collapsed segment reopens the
cyst drains and suddenly you get the
green fluid. The dilated segment
then can heal and return to a normal
function.
The process of stopping lactation or
involution varies a lot among women.
Some women have a difficult time
lactating even after giving birth,
produce small amounts of milk and
quickly dry up. These are the types
that are more likely to have
problems with fibrocystic
conditions. Other women seem to be
high prolactin producers. After
delivery their milk comes in with a
bang and they produce lots of milk
and have no problems breastfeeding
for as long as they want. When they
try to dry up their breasts don't
seem to want to stop and it may take
them quite a while. These women will
often leak a little bit of creamy
discharge in their bras for
sometimes years. In my opinion these
are the healthiest ones. Their ducts
are staying open even when not
lactating and all the equipment
remains in good functional condition
for years. If they try to induce
lactation they often succeed in a
very short time. Statistically women
who lactate have lower rates of
fibrocystic breast disease and
cancer of the breast. This shows
that, if anything, Prolactin does
not encourage cancer, but probably
is somewhat protective. Just some
interesting thoughts in the support
of lactation.
DrJim
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