What about the lutein cysts that were mentioned last week (see "No Milk on
Day 10" discussion)?

What about thyroid disease which escapes the regular thyroid panel tests?
In Hashimoto's Thyroiditis, for example, the 'panel' tests may be normal but
the thyroid may not be functioning normally.  Additional tests, like for
anti-thyroid peroxidase antibodies, may be of help.  (Not 'scientific' but
clear and concise:  <
http://thyroid.about.com/cs/endocrinology/a/antibodies.htm>.)

And a far out idea:  'extra-placental' placenta tissue?  IOW, the placenta
may have delivered intact but there is in fact more placental tissue
remaining in utero.

Best wishes with this toughie --

Marge Yeager, BS,MT, LLLL, LE

On Sun, Sep 28, 2008 at 7:05 AM, LACTNET automatic digest system <
[log in to unmask]> wrote:

>
> From:    Peggy Healy <[log in to unmask]>
> Subject: no milk!
>
>  Hello, Wise Women:
>
> I have a situation that is completely baffling.? This will hopefully appeal
> to the "detective" in you, and perhaps you can offer suggestions that we
> haven't thought of.....
>
> - First-time mom (baby is 10 days old), textbook pregnancy, natural
> childbirth - no medications or interventions.?
> - Slight breast/areola changes during pregnancy, none postpartum.
> - No history of anything that would predispose her to not making milk.? No
> thyroid issues, no breast surgery or injury, no PCOS, no breast
> asymmetry.....
> - She had one miscarriage prior to this baby, and used a Chinese herbalist
> to help her with this pregnancy.?
> - According to her midwife, her placenta came out smoothly and intact.?
> - She passed a grapefruit sized clot on day two, but had no unusual
> bleeding before or after the clot, and no additional clots have been passed
> since.
> - The baby went to the breast immediately after birth and fed often for the
> first 48 hours when they called us because she had lost more than 10% of her
> birth weight.
> - The midwife commented to me that she was surprised after the birth
> because she usually helps the mom squeeze out a little colostrom for the
> baby at the first feeding, and not a drop came out.? She commented on the
> fact that this woman has "dense" breasts.? I noticed slight veining, but not
> prominent.
> - HCG, hemoglobin and thyroid levels have all been checked - all are
> normal, and her uterus is firm (checked by midwife yesterday).
> - The baby had a somewhat rapid descent through the birth canal, and is a
> little asymmetrical, but latches on and sucks - the asymmetry is not
> dramatic enough to cause this situation, in my estimation.
>
> This mom has produced NO milk - not a drop, not even a whisper.? She has
> been putting the baby to the breast and pumping with a hospital grade pump
> religiously since day one - it is now day 10. She is taking herbs and doing
> almost constant skin-to-skin.? This mom desperately wants to breastfeed, and
> at this point has consulted us, her birth doula, her primary care doc, the
> pediatrician, her midwife and a Chinese herbalist.? Everything that has been
> suggested has been tried, and at this point, nothing has worked.
>
> Please offer any suggestions that you might have, no matter how random - is
> there something we're all missing here???
>
>

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