In the past 2 weeks I have noticed  some Drs ordering Reglan (10mg every
6 hours)for mothers who are not even 24 hours post partum.  One mother
was a nurse (not maternal/child) who expressed a concern prenatally that
she would not produce enough milk.  No reason for the concern was given.
I was not personally involved with this case.

The other mother was a para 3 who had difficulty nursing her first 2
children & had to supplement and eventually those babies were completely
ABM fed by 8 weeks.  This mother had breast reduction surgery at age
14.  She claims not all the ducts were cut because she can express some
colostrum/milk from each breast.  Her Dr started her on Reglan 2 hours
post partum.  This baby has a good suck and was put to breast
immediately after delivery.  I saw her 4 hours post partum.  She had
already had her first dose of Reglan.
I am not familiar with using Reglan this early.  Is this something new?
I would rather see mother and baby exert that effort in getting a good
latch and suck, concentrating on frequent feeds and monitoring the
baby's output (especially in the latter case), having mother rest as
much as possible and  making sure her nutritional and hydration status
is good.  Then, if there is evidence of inadequate supply, proceed to
other treatments.

I would appreciate any advice from the many of you with more knowledge
and experience.  Thanks in advance.

Debbie
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