I am working with a mom who is struggling to have a full supply of milk for  
her baby.  She has done everything right.  Great nursling, great  pumping, and 
no breast issues. Everything but domperidone as she cannot get  a doctor to 
prescribe for her.  Her ob/gyn has ruled out anemia  and thyroid issues. Or 
should I say blew off her concerns about them and told  her there was none, but 
did not give her levels.  I have asked her to call  back and ask for the 
levels, not just 'you are fine'.  Assuming there is no  problems with either though 
as she has no history and no difficulty at all  conceiving. She had a cesarean 
 delivery, which I could consider  reason for a delay for a week or so, but 
by now at 8 weeks she should have her  supply full just from what she has been 
doing. 
 
 The one thing she mentioned to me today that we did not think of  before is 
she is still having postpartum bleeding.  It is not heavy, but it  is there.   
My question is what are the chances that her postpartum  levels of estrogen 
are not low enough and that is contributing to the bleeding  and the milk 
supply not being fully established.  I googled for more  information, and what I 
find is what we already know...high estrogen levels, low  milk supply.  What I 
am having a harder time finding out is if there is any  correlation between 
high estrogen levels and lochia flow past six weeks.   AND, if there is a 
correlation, can the assumption be made that when the lochia  stops, the estrogen 
levels have finally leveled off and milk supply will  increase?  OR, is this just 
my wishful thinking....
 
Anyone have any thoughts or better yet any research out there I can read  
more about this?
 
Thanks a bunch,
Pam MazzellaDiBoso, IBCLC, RLC

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html