A month ago I wrote about a mom whose high prolactin level meant she needed
Parlodel to get pregnant.  No Parlodel during pg, but prolactin level
tested low.  After birth (c-sec) she had only drops of colostrum until Day
9, when supply burgeoned to its alltime high of 3/4 to 1 oz per 24 hrs.
She got that much if she pumped 4x/day or 8x/day.  Metoclopramide and
6-8x/day pumping led to no increase.

Baby had trouble latching on her large, flat nippled breasts.  We tried to
tempt him there w/ SNS, and his skills slowly improved.  He had a couple
good nursings w/ SNS, and even nursed several times *at length* w/o tubing
- a sort of farewell gift to his mother, I think, because he hasn't done it
in the past few days.

But those few nursings seemed to settle something in him, and he's a
happier baby than he had been.  She'll be bottle-feeding with regret, but
feels good about her efforts and is very, very pleased to have had those
few really good, gadget-free nursings.  I think the only thing that *might*
have boosted her supply further would have been extended SNS nursing, which
she didn't want.

No idea why this happened.  She's hypothyroid but well-controlled w/ med.
But I'm *so* glad baby finally learned how to nurse.  Now, at least, not
latching will be his *choice*, not his *inability*.  Mom will continue to
offer lots of skin.  Sigh.

Diane Wiessinger, MS, IBCLC, LLLL  Ithaca, NY  USA