On Mon, 29 Sep 1997, Sue Wirth, IBCLC wrote:

>  She has been pumping about 8x per day and was getting 4oz. per pump until a
> month ago when her period started.
Did the decrease in supply correlate with starting the birth control pills?


> Baby is 4lb, 4oz and coming
> home in 2 days.  Mom breastfeeds in hospital  but baby is not getting enough.
I would consider an SNS, fairly constant skin to skin contact, frequent
nursings about every 1 1/2 hours, breast compressions and pumping after
each feeding to increase the supply


> Mom's OB has put her on progestin only
> birth control pills to hopefully increase her supply.
ANY hormonal birth control can decrease supply, we have discussed this
before.  Why can't the mom use a barrier method for a while?
Many women are told that the hormonal methods will not reduce milk supply
so they choose these methods for convenience.  If there is an effect, and
it is shared with her in a non-judgemental way, perhaps she will consider
a somewhat less convenient method.  Once the baby is eating a variety of
table foods a decrease in supply might not be quite as much of a
problem.  Mom could then go back to the hormonal method.

 Sarah Friend Barnett   LLLL, IBCLC
Bronx (New York City), NY  -  [log in to unmask]
" You are not obliged to finish the task,
 neither are you free to neglect it."       R. Tarfon