Hi Veronica,

I don't think we will ever know if that severe car accident and head trauma
at age 10 are now having an effect, 25 yrs later, on this lady's lactation,
and if so to what extent.

The lack of palpable glandular tissue seems more the direct reason for low
production, and I would work with that as you are now doing. However, the
head trauma could have affected her hormonal function at puberty and this
could now be showing up. I also worry about the 22 pound weight loss since
the birth 2.5 wks ago. Had this mom gained an excessive amount of weight
with pregnancy? Did this mom have a large amount of edema? Hypertension? It
could very well be thyroid issues, and I would pursue this line of testing.

In the meantime, it seems she is right on with mothering at the breast with
the SNS, and using herbal galactagogues. Over time, if she continues this
way, she is very likely to have an increased production, and if she sticks
with it, to be able, at some point in the future, to discontinue the supply
line.

Laurie Wheeler RN MN IBCLC
Mississippi USA

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