I just saw a 31-year-old Asian mom (G2, P1) who was only producing a few cc's (measured by pump, baby won't latch) from each breast on Day 4. Labor was induced at 41 weeks, and she ended up with a c- section. He only latched on one time in the hospital, was very fussy and angry at breast. She was very edematous in her ankles, and her breasts appeared congested also. She had low progesterone during the beginning of her pregnancy and took supplements. She reports no underlying medical conditions, or fertility issues, except that she had one miscarriage and then took 10 months to get pregnant again. I didn't specifically ask her about PCOS symptoms. She is overweight, but so are 40% of Americans. When I spoke with her on Day 6, she was still only getting about 10 cc per breast, pumping 6-7 times per day. She is no longer bleeding heavily or having other signs of retained placenta. The reason I am suddenly wondering about hypoplasia is that her breasts are not very rounded in the lower quadrants, and they are kind of flat and wide, rather than round or pendulous. I didn't notice any asymmetry at the time, or bulbous areolas, or excessively wide intermammary space. We did have a lot of trouble keeping the pump flanges on, and milk kept leaking out of the bottoms of the flanges. We were finally able to keep them on by use of a commercial pumping bustier (tube top with a zipper in the front and two holes for holding the pump flange tunnels). Her nipples point downward. I palpated her breasts in a cursory manner, and felt that they were firm, not flaccid, but this could have been due to edema. Her nipples are flat, and do not protrude well on pinch test. Is is within the realm of possibility that this is hypoplasia? With the nonlatching baby and minimal milk supply, she has indicated that she will give it another week and then plan to exclusively bottlefeed formula. I encouraged her to talk to her doctor about Reglan and Domperidone. I would appreciate any speculation on this case. Sincerely, Lynnette Hafken, MA, LLLL, IBCLC *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html