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Subject:
From:
Denhez Louise <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 14 Oct 1997 11:33:09 -0400
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TEXT/PLAIN
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Here is an update on the two cases I presented to you:

Case #1: Mom with infertility, pregnancy kept with progesterone and no
lactation: TSH (thyroid) normal, Prolacting very high. No retained
placenta. Motilium raised
production from 10 to 15 ml per pumping. Mother about to quit. My theory:
the "progesterone-drop" was not steep enough to sensitize the mammary
cells to the effect of prolactin. Does it make sense ?

Case #2: 6-months old with stalled weight gain since 3rd month: Mom is
now pumping, and is producing quite a bit of milk. Baby is catching up
with
lightning speed... but is still wriggling at the breast, no matter what
the mother does, including spending quiet time with baby, nursing in the
dark, while baby half asleep, etc (in fact, the only trick that works a
bit is walking
while the baby is on the breast... she thinks that the baby feels that he
will fall if he moves too much !). Mom is happy, but would certainly
prefer quieter feedings.  And, of course, she would like to get rid of
the SNS, but baby is still very unsettled, as if he will not take the
milk directly from the breast. Palate normal, suck normal when he finally
sucks on the finger (he looks at you with smile in his eyes, as if saying
"what do you want, I am too old for this, can't you see"), but will stick
his tongue to the observer more readily on the right than on the left.
Development normal, happy playful baby with a bit of separation anxiety.
Suggestions ?

Louise Denhez, M.D., M.P.H
Montreal, Quebec, Canada

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