I just got a call from a mom who felt she was not producing milk.  Baby
was born 3 weeks ago weighing 8lbs. 10oz---now at 9lbs. 8 oz.  Mom has
been supplementing with abm since baby was 1 week.  It seems baby
received colostrum---meconium was passed and bm's were typical of
breastfed babies.  Mom says her milk has always been clear.  Never felt
fullness, engorgement (even after 6 hours of not nursing) nor any
letdowns.  Mom nurses baby for 15 minutes on each side than supplements.
I suggested getting rid of pacifier for now.  Mom says at birth they had
to go in and extract placenta.  One nurse concerned that fragments may be
left---another said no fragments.  This mom also states she had no
significant breast changes during pregnancy.

I urged her to see doctor about possibility of retained placenta and to
do a breast assessment.  What else?  She will be going to the military
hospital, and I am not sure if anyone there has experience with any of
this.  What other suggestions can I give her?  Are there any specific
tests she should ask for?

She is getting out of the military.  She will be moving to an area
outside of Huntington, West Virginia bordering Ohio the first week in
November.  Is there an LC there who can help her?

Thanks.

Aloha,
Gloria Thai  LLLLeader Hawai'i