I have a mom who is on baby #3 and has always had supply problems.  She
has been renting an Ameda breastpump from me and I have found out these
things piecemeal from phone calls with her.  She said she had fertility
problems (no more details).  With this last pregnancy she was diagnosed
with ACA+ (anti-cardio lipids ?).  Says it is an autoimmune problem.  I
have no experience with this at all.  Just remember what Lisa Marasco
says about PCOS (poly-cystic ovarian syndrome) being auto-immune and low
milk supply can be a result.  Is there any relationship here?  Mom says
she get about 1/4 oz total when she pumps, only has drips when she pumps,
no sprays, has been on domperidone for about a week.  What do all of you
think?  I told her to give domperidone 3 weeks.  She's also wondering if
syntocinin spray for let-down would be helpful?  I told her I'd ask all
of you.

Warmly,
Pat Bucknell, IBCLC

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