Some mothers with hypothyroidism also do not make enough milk even if
treated.  Lisa Marasco has a theory that if thyroxine levels are low
during periods when this hormone impacts breast development, there might
be permanent hypoplasia, despite current treatment.

This was the case with a recent client of mine, who did absolutely
everything with her second baby to try to make enough milk, and could
come up with only 2 oz from both breasts at her peak output.  (Baby was
seen the day after her totally unmedicated birth with no mother/infant
seperation, frequent bf, good suck, good latch, started Lact-aid and
pumping on day 6 when baby was still feeding for an hour to get an
ounce, frequent followup, fenugreek and blessed thistle, domperidone,
blood tests for all her hormones, readjustment of thyroid levels).  Mom
was happy that baby thrived and she fed at breast, but she never did get
anywhere near a full supply.
These are the cases that break my heart.  Why can't moms who choose not
to breastfeed trade their perfectly normal breasts with these  moms who
will do anything to give their babies every drop of their milk possible?

--
Catherine Watson Genna, IBCLC  New York City  mailto:[log in to unmask]

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