Please Help!  I am a newer lactation consultant & need help:  I have a 27 
y.o. primip with a apx 25 week premature infant who is now 2 weeks of 
age.  She had a concurrent molar pregnancy.  She is pupmping every 2 hours 
during the day & had been pumping every 2 hours at night too.  She is now 
pumping apx 8 -10 X/day.at night also.  She still expresses only 2 ml of 
milk per expression.  She uses a hospital grade electric pump & 
understands how to use it. Her HCG level is now 1500 (which I believe is 
between a 6 & 10 week of pregnancy level). She will probably need to begin 
chemo because of this & she is very concerned that she will not have any 
saved milk for her VLBW infant.  Is it because of her high HCG level that 
her progesterone won't go down & her body thinks she is still pregnant & 
are causing the receptors sites to be clinging to human placental 
lactogen?  So that she won't produce milk?  What advice should I give?  
She is under the care of an oncologist & an OB.  THANK YOU.

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