Thanks Felicia...
The lack of changes during pregnancy
and the minimal lactogenesis II
seem to point in the direction of insufficient glandular tissue...

But one thing that bothers me is that for such a slender girl she has  
a good bit of mounding
and good radial symmetry...like she does have sufficient glandular  
tissue- it's just not producing milk...
In my experience thin women who also have insufficient glandular  
tissue either have no mounding,
i.e. they have the appearance of a prepubertal chest
or they have tubular breasts...and heavier women with insufficient  
glandular tissue have larger breasts,
  but they have a certain feel to them...firm in spots flaccid in  
spots...

Also why did the baby gain gain 10 oz over 3 to 4 days in the early  
postpartum period if the mother has insufficient glandular tissue?

Thanks again for your help,
Jen O'Quinn
IBCLC


On Apr 29, 2006, at 9:07 PM, Henry, Felicia wrote:

> Jennifer,
>
> This sounds like a case of insufficent glandular tissue (it reminds  
> me a lot
> of a mom I had over a year ago).  No breast changes in pregnancy  
> and no
> engorgement (or at least feeling really full if not  
> uncomfortable).  I doubt
> it is a diet issue (my mom wasn't vegetarian - but have had  
> vegetarian &
> vegan moms with no breast feeding issues).  There may be small  
> amount of
> milk, but not enough for actual growth.  In my mom's case the baby was
> having wet diapers (dark urine) and some stools and she could  
> express some
> milk, but by a week of age the baby was starting to sleep excessively.
>
> Giving the mom all of the options for increasing milk and pumping  
> will make
> the most of what their is, but supplementing may always be  
> necessary (my mom
> is currently still nursing with an SNS) and was concerned a while back
> because he would only latch for his nursing before bed without the  
> SNS.
>
> Felicia Henry, BCCE & IBCLC
>
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