I think "someone" needs to design a proper clinical study on the effects -
or not - of progesterone, whether by injection or by pills, on milk supply
or milk production. Observations clearly show that some women experience a
sharp reduction in milk production or milk supply while others experience
an increase in milk production or milk supply. Depo is part of the protocol
for relactation or induced lactation. I have seen two such protocols from
different parts of the world.

My hospital routinely gives Depo shots just prior to discharge at 48 hours
post birth. Due to difficulties with followup, we have no way to know if
the shot afffects their milk production. (Followup difficulties are related
to extremely transient population, several health plans that take the
patients out of our medical system & into another, etc.) Then again, when I
teach the BFing portion of our discharge classes, I always see hands go up
when I ask if any of them "know" someone who BF'd for 1yr, 2yrs, or more.
So there are many who continue with some degree of BFing for quite a long
time. I would like to know what kind of BC method they used - if they are
willing to talk about it.

The Depo manufacturer recommends giving the shot after 6 wks, but that's
when they began testing. I could assume that's because normal recovery from
childbirth lasts 6 weeks. Unfortunately, our own health plan only pays for
Trilevelen which contains estrogen. If mom wants something else, she must
pay for it herself. Usually, she has little to no money for alternatives.
Maybe that's why 98% of them choose "B&B" because experience has shown them
they don't have milk after 2-3 mos. So what kind of BC method did these
short-term mos use? How many quit for other factors?

Phyllis



> Hi Chris, I would love to receive your information about
progesterone/milk supply.  One woman in my LLL group has has severe trouble
with pumping after a depo-provera shot at 4 weeks ppm.  Prior to this
everything seemed average and after the shot a marked difference. (OB
insists it's not the depo causing any problems...)
>
>  Please send to [log in to unmask], thanks very much!!
>
> Dawn Lamping
> LLL Leader
> Aspen, Colorado

--- Phyllis Adamson, IBCLC, RLC
--- Glendale, AZ, USA
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