Dear Wise Women (and men)
 
Cross posting:    PTP....a mom -- unable to see her, but talked  w/ her by 
phone.  Baby a bit over six months old, gaining well, has begun  solids but 
was until 6 months breastfeeding exclusively.  About two weeks  ago she 
noticed that during the evening feeding, the MER was delayed -- slowly  at 
first, 10 minutes, to 15 to 20....now she pumps to stimulate the MER, but it  is 
taking 30 minutes of pumping.  Once it comes, baby latches, has a  wonderful 
feed, and is completely satisfied, so she doesn't think it is a milk  
supply issue.  Feedings in the morning and afternoon are fine, though she  has 
now noticed that it is happening at the second to last feed and sometimes  
even into the middle of the day feeds.  I asked her about orgasm, and she  said 
though they have resumed sexual relations, there is no orgasm.  
 
Ideas?  I'm thinking something's up with the oxytocin -- obviously --  but 
in all my years, I've never had one that started this late in the game, and  
only in the evening when her breasts are somewhat depleted.  Ideas?   
Wondering if oxytocin nasal spray might give it a kick start.  Have  encouraged 
her to rent a hospital pump as she is currently using a Swing single  -- so 
perhaps double stimulation might help.  She says that hand expression  isn't 
getting her anywhere.  This is second baby -- first she nursed for  nearly a 
year.  
 
Does anyone have a "recipe" for oxytocin nasal spray?  Her OB is  willing 
to prescribe it, but says he's never done it and wants some  guidance.  
 
I explored the stress issue, but she said no, there is none.  She is  an 
advanced practice nurse in pediatrics -- is well read and researched.
 

Jan  Barger, RN, MA, IBCLC, FILCA
Wheaton IL

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