Permission to post: mother with confirmed Sheehan's syndrome after severe
postpartum hemmorhage. Prolactin levels now at 9 (two weeks after birth).
Mom started pumping right away (baby in intensive care), got small amounts
of colostrum in first tries, then nothing.

This is the mother's fourth child, breastfed all previous children, her
mother was a LLLL, she is very dedicated to doing anything and everything to
produce as much breastmilk as possible. She is currently using a nursing
supplementer.

I have searched the archives, and can't find answers to my questions:

Other than the case in Lawrence, does anyone have experience working with a
mother with confirmed Sheehan's syndrome who was able to establish
lactation? If so, what was done?

The mother would like to try oxytocin nasal spray (as used in the Lawrence
case). Lawrence says syntocinon is no longer available. Mother has a doc who
will write a scrip, but what does he write it for? What is the dosage?

From the Lactnet archives, it seems that Reglan doesn't make any sense when
there is a damaged or destroyed pituitary, but domperidone might be better.
Any experience with this?

I welcome your input!

Lisa Mandell, MBA, IBCLC
Havertown, PA

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