I have a mom who is nursing twin baby boys, #4 and #5. She has previously
successfully breastfed, and wants very much to breastfeed these two also.
However, in the interval after #3 was born she broke her hip, and in the
process it was discovered that she has a rare congenital condition that has
been labeled "osteogenesis imperfecta tarda".  She explained it as that her
bones did not develop and calcify normally during her childhood, and so she
now is osteoporitic. She had taken didronal (sp? mother unsure, not in my
books) until the current pregnancy, but this drug was only marginally
helpful. A new drug has come out on the market called Fosomax (hope the
spelling is right here!), and it actually helps to increase bone mass.  She
was given two months to breastfeed, and then told that she would need to wean
her babies so that she can get on to this drug.

Does anyone know about this drug? I need to find out whatever we can, and see
if mom has any options. Babies were born at 37 weeks weighing 7lbs and
6lbs11oz, healthy, and are currently 12 days old. However, a prenatal
ultrasound showed an enlarged kidney in one baby, and a repeat ultrasound
today showed the kidney still enlarged, necessitating surgery to search for
blockage in the very near future.  I am also cc'ing this to Dr. Hale, and
would appreciate any and all input. Recommended dosages are not yet known.

-Lisa Marasco, LLLL, IBCLC
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