Dear Lactnetters,
I am working with a mother who delivered a bit over 4 months ago and approx
3 weeks ago she went out of town without baby (for business) and pumped with
her PNS approx 6x/24h.  Since that time she states that she has felt a
gradual decrease in milk production.  She is now only able to pump approx. 2
1/2 to 3 1/2 oz at a time where she used to be able to pump 5-6oz each
session.  Baby's weight gain has been in the 5-6oz per week region.  She has
been increasing her extra pumping and nursing more, taking fenugreek and
blessed thistle, using RPS, massage, as well as pumping techniques to
increase amount pumped.  All to no effect in the last 2 weeks.  She has been
taking Synthroid and is going next week to get her thyroid levels checked.
Since she is going to have that checked, are there any other hormone levels
that she should request?  Prolactin levels wouldn't be useful at this point,
would they?  I've checked the archives and of the large amount of posts
regarding low milk supply, all the ones I read involved the early postpartum
period and did not address the mother who had an adequate supply that
dropped afterwards.  I appreciate any suggestions.

Thanks,
Cindi Swisher, RN, IBCLC
Colorado Springs, CO

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