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Lactation Information and Discussion

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Subject:
From:
Lisa Mandell <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Jan 2008 18:22:20 -0500
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I have a follow-up question to Liz's post on a realistic picture to give
moms with long-term low supply. I understand the prolactin receptor theory,
and have seen cases that fit it. But I worked with a mom recently who had
long-term low supply with her first despite her reports of frequent nursing,
early help from IBCLC's, and dedication from the mother (she went on to
nurse that child for several years). I'm working with her now because she
again has low supply with a new baby, again despite frequent, effective
nursing, pumping, galactagogues. This mother reports that with her first,
she focused first on eliminating pain from thrush, and then, after about a
month or so, started working more on increasing supply. She saw her supply
start to increase around 8 weeks, and it continued to increase slowly,
although she had to supplement until a few months after her baby had started
solids. Again with this second baby she is noticing an increase in supply
about two months out. Further, another mom I worked with seems to be
experiencing a similar process.

My question: could it be that when the body is capable of making a plentiful
supply but there is inadequate removal, the prolactin receptor theory
explains the inability to later increase supply, but when there is another
issue limiting the mother's ability to make sufficient milk, and there is
good stimulation so as to lay down plenty of prolactin receptor sites
initially, it can then slowly build over time, especially if a treatment
resolves the issue limiting the supply?

I hope my question makes sense. I look forward to hearing from those with
more experience.

Lisa Mandell, MBA, IBCLC
Havertown, PA

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