I am a women's health NP, and deal with bleeding issues like this 
frequently.

To avoid the breastmilk-decreasing properties of an estrogen containing 
BCP, I'd recommend a progestin product like norethindrone or 
medroxyprogesterone to control bleeding.  It can be taken in a similar 
way--6 times a day tapering down to once daily over a period of 2-3 
weeks.

The heavy bleeding is due to endometrial build-up over the past few 
months.  Once the periods are regular in timing again, the periods 
shouldn't be so heavy.

If her bleeding is heavy (read=soaking a pad in an hour or less) she 
should take the pills she was given until she can get an alternative.  
Hemorrhage would definitely decrease milk supply..

HTH,
Leah Moynihan, RNC, MSN

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