Lesley,
I would agree with those who suggested supplementing at breast. I would also treat mom though. If this were my client, I would use homeopathic hypericum 30c as well as castor oil compresses 2-3 times per day to relieve any inflammation. I might have used syntocinon earlier on, but not sure now. I have used it very effectively for moms whose bodies do not seem to know how to let-down, but I look at the whole picture (how did she labor, how is her ability to reach orgasm?) I might also use homeopathic phytolacca--would certainly have it on hand. As with all moms who have low supply and chronic pain, I look at nutrition, vit D profile (get her levels up!!!) and magnesium. I would also consider acupuncture and chiropractic.


Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network, LLC




Date:    Thu, 8 Jul 2010 18:24:55 +0000
From:    Lesley Smythe <[log in to unmask]>
Subject: Slow let down

Hi 
I would be grateful for any suggestions for a mum I am working with who has 
given me permission to post to this group. 

The mum has a breast implant on one side and breast reduction on the other. Her 
baby is now 11 weeks old. She initially put him to the breast and although she 
wasn't producing more than a partial supply things seemed to be working 
according to plan. At 2 weeks postpartum she experienced severe pain in the 
breast which had reduction surgery with some pain in the other breast as well. 


The breast was very engorged further back but she was unable to express any 
milk. Her doctor advised her to stop breastfeeding immediately and treated her 
for the "worst case of mastitis he had ever seen". She followed this advice and 
weaned her baby but was heartsore about it. After four weeks she decided to put 
him to the breast once a day for the comfort of having him at the breast which 
he was happy to go along with. Since then she has chosen to obtain a course of 
Domperidone and take it to try and build a supply which seems to be working. 


However she feels that her letdown is very slow and she is only able to 
effectively drain the breast with manual expression and a fair amount of breast 
massage and compression. I have observed the baby at the breast on the reduced 
side and he nurses well for a few minutes but then begins to act frustrated. The 

breast however seems to still have milk and  hand expression produces a good 
stream although the mum seems to use quite bit of pressure. Her sensation in the 

nipples is definately reduced. The breast with an implant has a minimal supply.
Any thoughts would be welcome.
Lesley IBCLC, LLL  







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