Hi Corrine,
I have been nomail awhile, but signed on again. Will see if I can keep up
for awhile.
Re the lady w/ the 5 mo old and low milk supply: I don't think it is the
heparin. I always say "look for horses, not zebras first." Which is to say,
go for the obvious. You seem to have pinpointed it w/ the early return to
work, stressful move, early intro of solids etc. I think this lady could
benefit from a good LC who could, together w/ the mom, lay out a plan for
returning to bf. She probably would benefit from any or all of the
following:
cosleeping, babywearing, top grade double electric pump, galactagogues,
changing her work hours if possible to spend more time w/ baby or taking a
short vacation (babymoon), stopping pacifiers if used, cutting back on
solids, using a cup for drinking instead of bottle, maybe a nipple shield
but probably not due to baby's age, maybe a nursing supplementer (like SNS
or Lactaid or homemade one) if baby will latch and nurse briefly. Also get
the thrush treated,  if it is thrush.
Also this mom needs a mother to mother support group whcih could help
tremendously with the return to bf, and show her another way to later
introduce solids instead of the commercial baby food method.

p.s. I passed my 10 yr recertification exam w/ a 93! I am so proud.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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