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Lactation Information and Discussion

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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 2 Mar 2010 06:58:03 -0800
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>>My questions are:
Are there any other tests she should do?
What should I be looking for in the prolactin level test?
How much can motilium help in cases of hypoplasia and hormone imbalance?
She is interested in using an SNS - would that be appropriate in such a
case?
Am I being over optimistic that she can give at least partial
breastfeeding?<<

How high was the prolactin? This alone can prevent ovulation, and the first
line of treatment is usually to bring it down with bromocriptine or
cabergoline. There is also the question of what is causing it, such as a
prolactin secreting pituitary adenoma. This information will have a bearing
on what may have happened and what is and is not appropriate in lactation
treatment.

I would want to know more about her overall reproductive health history. Has
she had erratic menstrual cycles? Since when?  How old is she now?

Motilium will not fix hypoplasia, of course, but it might help get more out
of the breast *if* it is a viable option. If there is a pituitary adenoma,
more prolactin could be the last thing the doctors want.

Need more information to get a bigger picture before a plan can be
determined.  :-)

~Lisa Marasco

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