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Date: | Sat, 3 Jun 2006 10:41:19 -0400 |
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Depends on how hypoplastic the breasts are. There is very little hope
for severe hypoplasia, but if it is mild domperidone and goat's rue
along with very intenstive stimulation have been helpful for moms in my
practice. One particular mom who had significant difficulties with her
first child made a full milk supply with the above interventions by 6
weeks postpartum. She breastfed frequently, used a Lact-Aid
(supplementer device) with donor milk as needed for the first 6 weeks.
The milk was individually donated, but the donors took the same blood
tests done by HMBANA and the blood test results were vetted by the
baby's pediatrician. She had this donor milk on hand before the birth
and started using some on day 2 or 3, when baby's diaper output started
to become insufficient. (This mom was motivated).
Petok and Huggins (I think) found that a proportion of mothers in their
study with hypoplastic breasts developed sufficient milk supplies by 6
weeks. The study was published in Clinical Issues in Human Lactation, I
think in 2000 or 2001. Very useful work.
Catherine Watson Genna, IBCLC, NYC
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