I would greatly appreciate any advice or suggestions from someone who knows
something about this issue.
I am working with a woman and her 7th baby. She contacted me for the first
time during the last trimester of this 7th pregnancy.  She breastfed her
first and second children with no problems, lots of milk etc.  Since baby
number two, she has not been able to produce milk.  The only thing she
recalls that may have some impact is a crash diet she did and lost over 30
pounds in a very short period of time.  She has tried everything - pumping,
marathon nursing, domeperidone/motillium, fenugreek, S&S, switch nursing etc.
She was seen at a physician run breastfeeding clinic and her prolactin
levels were measured after feeding and were about 128.  She went on the
medication, domperidone for 9 days and her levels were 540 and she still was
not producing milk.  She could feel the let down sensations but no milk
production - maybe a teaspoon here and there.  An Endocrinologist was
consulted and he felt that there was not a problem with her pituitary ( my
first question...) but rather the prolactin receptors in the breast.
So now we have all these questions????
What happened to them between baby two and baby three?
Are they not functioning due to the dieting?
Is there any way to get prolactin receptors inside the breast to function again?
I would appreciate any help on this.  This baby number 7 is now 3 months old
and loves going to the breast and would love it even more if there was milk
coming from it!
Thanks
Kathie Lindstrom
Kathie