A good reference is Ruth Lawrence's book
However I have been doing prolactin levels on women when there is a
delay in onset of lactation

1. 8374 - day 6, lactated well
2. 26000 - had renal failure, endocrinologist was not worried, he said
it was normal for lactating women, she lactated well
3. 1734 - done on day 4-5, she became "engorged" with breast changes
but did not go on to lactate well
4. 12541 - day 5, lactated well

As you can see I don't organise prolactin levels often. I do it before
I use domperidone for women who present like they may have a primary
lactation failure, both by their clinical presentation and by their
history.

I am beginning to get a suspicion about the lower level readings. The
problem with the levels is they need to be done a good while after
feeding or expressing, otherwise you get the surge with the feed and
this muddies the water so to speak.

Gwen

Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135


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