First thing I would investigate is: are there retained placental fragments?   Definitely switch to Symphony - freestyles were designed to maintain, not increase milk supply, I believe, with a functioning nursing baby and adequate supply.  Get a prolactin level done, etc.  

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Mellissa WIllette
Sent: Monday, July 19, 2010 12:04 PM
Subject: minimal supply 11days pp

Have a really great  mom trying to help.  Nipples very short fibrous baby not able to latch in hospital or one week at home.  Moms milk seemed to be coming in around day 6 had some bad engorgement, but really we have seen much worse.  She started getting 5 ml sometimes.  She is using Freestyle and every going 8 times in 24hr for fifteen minutes.  We startes skin to skin and SNS at breast and thought we were on the right path.  Day 9 not getting anything started on fenugreek and now day 11 drops to nothing.  Talked about maybe trying Domperidone  and switching to Symphony.  Had breast changes during pregnancy and not set for this as we can tell. I am going to see her mid week but I am running out of options.  She and husband are so nice and very much want this too work.  I want to help Mellissa [log in to unmask]

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome