I am posting this for a fellow LC who is not subscribed to lactnet but
really needs some input.
You can email me or her privately if you like. Thanks again!
>I really need help with this one. I have a client who has a history of a
>pituitary adenoma. Her periods stopped when she was a senior in High
>School, and the diagnosis was made much later, at which time she began on a
>7 year course of bromomcriptine. The adenoma did shrink, and her periods
>returned, so she was told it was O.K. to stop the medication. From time to
>time over the years before the medication began she had leaked fluid from
>her breasts and had to wear pads. Once off the medication,she went on to
>get pregnant without much intervention. She never produced an adequate milk
>supply, despite SNS and pumping, ect... She had a pregnancy loss a year or
>so ago and received methotrexate for a suspected ectopic pregnancy. She
>then took a few rounds of clomid, as she was now in her 40's, and became
>pregnant again. Her baby is now close to 1 week old and she does not seem
>to be bringing in a milk supply, although I know it is still early. Her
>baby is refusing to nurse for long, and her breast are soft and flaccid, and
>colostrum is very difficult to hand express, although I did see a drop. The
>baby's weight is down, and he is jaundice. Uric acid in the diaper, dark
>stool, the whole bit. He is being supplemented. Is there any thing out
>there about reversing the effects of the bromomcriptine? Would Reglan be
>possibly indicated? Is a prolactin level be helpful? Any info would be
>appreciated as this mother is fragile, and deperately wants to nurse this
>baby. Donna Norris 978-470-3548 [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(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|