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Sat, 11 Jul 2009 15:22:06 -0400 |
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I have a 33 yr old G1P1, 10 days PP with low milk production. Never had
engorgement or hardening of breasts at days 3-5. Yields 1 oz total with
Lactina every 3 hours. Baby takes ~ 1oz directly from breast, according to
scale. Serum prolactin level was 108 on day 9 (normal level). No significant pre
or peri natal history. Reports breast changes during pregnancy. Denies heavy
lochia or clots. Breast tissue appears normal, breast shape and size within
normal limits (no large spacing between breasts). Denies hx nipple soreness,
latch appears adequate. No malformations of baby's mouth/palate/frenulum. No
apparent history to suggest etiology of low milk production.
Pt now taking goat's rue tincture 1-3 ml 3X daily starting yesterday, continues
to breastfeed, pump, and supplement. I suggested patient consider
acupuncture.
What am I missing? Thanks for your suggestions.
Karen Wilson, RN IBCLC
Boulder, Colorado
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