I have seen about 5 moms with an official diagnosis of PCOS. One of them
may have had serious milk supply issues -- hard to say, because she weaned
the night she went home ("that baby was *so hungry*" -- since that week I
have finally stopped trying to persuade moms the baby isn't really all that
hungry, and started to say "yes, he's hungry! That's what will guarantee
him his meals from here on out! He is supposed to be hungry, so he will
nurse a whole lot, so your milk will come in gangbusters! Just because
he's hungry now doesn't mean he'll still be hungry tomorrow! Quite the
reverse!"). I think she was on metformin. Another one definitely did not
get her milk in. I can't remember if she was on metformin. I watched the
others like a hawk. The others had adequate or plentiful milk. I don't
think any of them were on metformin. So, though I get a bit nervous when
the PCOS question gets a "yes", and especially if it has been bothersome
since adolescence, I don't think that medical treatment is always a
prerequisite to breastfeeding success.
Elise
LLLL, IBCLC, RLC
Cottage Hospital
Woodsville, New Hampshire
At 09:49 AM 5/31/2005, you wrote:
>Question about PCOS/Metformin. I have a C/S mom who delivered
>yesterday, dx'd with PCOS. 40 years old, P1, IVF pregnancy. She has
>very small breasts, widely spaced. She states she has seen colostrum.
>Baby has stooled 3x and voided 2x since birth yesterday at 16:39. I
>literally just discussed Metformin with her OB. He wants to know exact
>dosage and when to start.
>
>We are seeing more and more moms with this, are others finding this as
>well? Is there any study I can share with her OB?
>
>Any help is most appreciated. (I did quickly look thru archives, but
>this doc is waiting so didn't have much time)
>
>Thanks so much,
>
>Margaret Sullivan IBCLC
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