Has anyone worked with a mom with a history of Sjogren's Syndrome? This particular mom is experiencing a low milk supply and has a prior history of low volumes. This is an autoimmune disease like lupus, but it's uncommonly seen in women of the childbearing years. Most onsets occur in the age group of the 50's and beyond. This is her primary disease and she carries titers for both type A & B. She experiences an impact on her sweat gland that causes her to need to drink frequently. I'm wondering if anyone has ever worked with such a case, and if so, what were the outcomes? I've had permission to post this inquiry by the mom. We are curious to know if anyone else has anything to offer us. Are we expecting to never make enough milk? Any intervention that is effective with this type of case to increase milk volume? Besides mom's milk issues, baby was born at 33 weeks gestation and exhibits an immature suckling pattern and sleepiness, necessitating a small nipple shield to sustain her latch, but unable to transfer any milk yet. The baby is home now and gestational age is 36 weeks. Thanks! Carol Chamblin, RN, MS, IBCLC Breast 'N Baby Lactation Services, Inc. St. Charles, IL *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html