I have contacted Dr Neman, Infant Risk Center, and Dr Nice re the  
following.  Any thoughts from anyone?  Interestingly I suggested first  to mom she 
confer with her endocrinologist and that what Risk Center said.   Also, it 
seems Dr Hale is suggesting EKG prior to domperidone use and then  repeat in 
about 3 weeks once on; this one is new to me but I understand  why.  As far 
as domperidone I realize if her levels are high domperidone  won't 
necessarily be helpful.  Wondering too if she should be on metformin  but has no usual 
androgen like signs and symptoms of PCOS,  endocrinologist again, I know.  
Could the thyroid be the main factor in supply?  She was told that  could 
take a couple of weeks to adjust so could she take any iodine rich foods  in 
the meantime?  
 
~Mom with pre pregnancy diagnosed small pituitary adenoma and high  
prolactin levels interfering with  conception so dostinex given and she  became 
pregnant.  PCOS and hypothyroid also dx prior to pregnancy.   Has ulcerative 
colitis, on no meds for this now.
 
Is she ok for domperidone as slow lactogenesis II and low supply.  8  days 
PP now.  Would domp cause issues with pit adenoma?  Has had  prolactin level 
drawn and no results yet.  Thyroid meds adjusted for hypo  state a couple 
of days ago.
 
Thanks!  Poor mommy is a hormonal mess.  Seeing her this  afternoon for 
third time.~
 
Input appreciated.
 
Barbara Latterner, BSN, RN, IBCLC

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