Hi All,

 

I have a mom 38 yrs old, (permission to post) 12 days pp after planned
c-section due to moms hip dysplasia.  1st baby.  C-section went well - no
issues, no heavy bleeding, and recovery is steady and good.  Baby (39wks)
has structural issues and t-t (t-t clipped and body-work under way) and was
not BF well at all 1st couple days and chewed up mom's nipples pretty badly.
Mom started actively pumping on day 2 with Swing pump and got hosp. grade
from me on day 5.

 

Mom is producing all of 30 mls total each pumping - pumping 10 times per 24
hours (with no more than 3 hours between any pumpings).  Flanges fit well
and pumping technique is good.  Mom had a bout of thrush that was quickly
resolved with miconozole.  She never experienced and engorgement or that
overly full sensation - breasts got fuller and warmer - but she should have
milk coming out her proverbial ears right now and does not.

 

Here is the problem:  Where is her milk?  We are looking to rule out
retained placenta and had blood work done 2 days ago.  Sadly the person
talking to mom on the phone refused to give her any serious details just
telling mom the levels were 'normal'.  Mom managed to get her prolactin
levels (totally fine), and Thyroid (1.76 in range of 0.3 - 3.0) and was told
Iron was 'normal'.  Mom will be getting a copy of the lab results for me in
the next couple days - whereupon I may have more questions for you.  :-)

 

So - prolactin totally fine, and breasts totally fine (NO signs at all of
hypoplasia), had breast changes during pregnancy and after.just minimal
milk.  Thyroid however seems to be on the low side of normal which may be
fine for some but not for others.  Mom is interested in knowing what herbs
she can safely take while BF to help the Thyroid.  She will be starting iron
supplement (Hemaplex) today and probably changing out her pre-natal vitamins
for a better quality brand as well.  She is starting More Milk Special Blend
today also.  She will consider domperidone as a last resort.

 

Thoughts?  This one is weird.she is not on any meds that would cause a
problem, I will be interested in seeing what the blood work actually says
and to 100% rule out retained placenta.  Mom has NO history of any hormonal
issues at all.  I hope there is something in the blood work that will
explain the problem - but if not.what is the problem?

 

Thank you in advance.

 

Warmly,

Jaye

 

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

 


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