Well, it's hard to be sure a mother will not produce milk if she cannot pump
any (even moisture) at 3 days postpartum. Often they can express better by
hand than with a pump. She could be overflowing at 4 days or 5 days.
If you think it's a real production problem, start fenugreek now. And
blessed thistle. See Treatments for Problems at the website below:
http://www.erols.com/cindyrn/drjack0.htm
If she truly needs medication for depression sertraline (Zoloft) is a good
choice for a nursing mother.
Jack Newman, MD, FRCPC