Many thanks to everyone who posted a reply to my plea for help both on and
off list.  The news is mixed.  Baby's pediatrician offered a prescription
for domperidone and name and location of a compounding pharmacy.  She also,
however, told mom not to have a follow-up with any Dr's because the
likelihood of retained placenta, pituitary problems, or other hormonal
abnormalities was very rare and not worth this Moms energy.  Sigh.  For the
meantime, Mom is going to start domperidone and see if it has any impact on
her supply.  She is currently pumping every three hours, but plans to go
back to pumping every two hours on the third day of the domperidone.  If
there is not any milk production increase after a week of pumping plus
domperidone, she will seek some blood tests for hormone imbalances and
perhaps an ultrasound for the possible retained placenta.  We tried a new
feeding bottle today with great success (the Adiri "breastbottle" 0-3 month
flow).  Baby was, for the first time, not overwhelmed with milk and even Dad
can feed baby (he was not very successful at the paced feeding).  Mom is
thrilled after trying 5 other bottle nipples to find one that works for her
little girl.  Baby is latching a couple of times a day for up to 15 minutes.
 We can hear some swallowing, but have no idea of milk transfer.  Mom is
going to start feeding her collected, pumped breastmilk at the breast when
she latches with a nursing system "a la Jack Newman."  Again Many thanks, if
you have any more thoughts or helpful suggestions for this dyad please keep
them coming!   Very warmly,  Charity                                        

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