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Sat, 19 Nov 2005 10:36:38 EST |
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I am VERY cautious about diagnosising lack of glandular tissue for a couple
of reasons. First, lab tests need to be run to evaluate hormonal problems
(gestational thecal lutein ovarian cysts, thyroid dysfunction, pituitary
problems, retained placenta, PCOS are just a few). Secondly, there is no
standardized "test" available to confirm or deny the diagnosis. Thirdly, even if this
is the diagnosis; by correcting underlying problems, using Reglan, possibly
metformin, synthroid (if indicated) and herbs some are able to make 25, 50% even
75% of their infants diet. Alternatively if I diagnosis this too early, its
demoralizing and mom may quit before we have even begun to challenge or test her
body. So generally, I only make this diagnosis once I have worked with this
mom intensely, run lab tests to rule out other problems, corrected other
underlying pathology if possible and her supply either doesn't respond or it
responds poorly. I believe that only then is it acceptable to offer this
explanation. I also then tell them that generally they will make more with a
subsequent pregnancy although it still may not be a full milk supply and that they
should work closely with a consultant to ensure the infant doesn't lose too much
weight.
Christine Betzold NP IBCLC MSN
www.theBFclinic.com
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