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Lactation Information and Discussion

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Subject:
From:
Christine Lichte <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 29 Apr 2008 11:50:02 -0400
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Hello.  I have read the archives and found some good info, but I just want to 
run this by all of you.  I have a mom who was diagnosed with PCOS as a 
sophomore in high school. She was diagnosed with hyperprolactinemia, but no 
tumor (idiopathic). She took bromocriptine because she leaked so much. She 
did clomid twice and became pregnant the second time then miscarried. She 
was then able to get pregnant again without clomid. She was taking 
glucophage until she became pregnant. She delivered a healthy baby boy 6 
days ago. 

Baby has difficulty latching.  She did a lot of sts in hospital. She is an ob nurse 
(and my friend) and we discussed her situation while she was pregnant.  We 
were thinking she would have oversupply issues, but so far the opposite is 
true. She has been pumping with a symphony and xl shields.  She barely gets 
1/2 ounce and her breasts have never felt full. Baby is fussy at breast due to 
low supply and latching problems. She is supplementing. We decided she 
should focus on pumping, since baby won't latch. She plans to continue 
pumping, hoping things will "kick in".  

She plans to call her endocrinologist to see if she needs to begin glucophage 
again and to see what else she can do. Since she has had her prolactin levels 
drawn in the past, I suggested she have them drawn again. She told me her 
levels were 200 before treatment with bromocriptine and then around 20 with 
meds.

I have worked with several moms diagnosed with PCOS, but my experience has 
been issues of too much milk rather than too little.  Any ideas?  If she does 
have her prolactin levels drawn, how long after pumping should she have the 
test?  I know levels rise briefly with nipple stimulation.  Thank you so much for 
your time.

Christine Lichte, IBCLC
 

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