Dear Wise Ones,
Maybe someone can shed some light on this case of mine.  I have a client
who is 24, just had her 1st baby.  Breasts are largish, and I saw her on
day 7 and they were hard towards the back of the breast but soft towards
the nipple.  Baby was always screaming, mother had an exhasusting labor (
she stayed at 9 cm for about 14 hours) .  Birth was without medication,
baby was born vaccum.  Baby was never settled.  Checked latch, etc which
was fine, but there were very few swallows.  I asked mother if back of
breast was always hard like that, she said no.  However, she reported to
feel no difference pre and post feed.
We started her pumping with a Lactina, and she started giving formula
supplements.  She pumped every 2-3 hours and was getting 5-10 cc each time
for about a week.  She then switched to a Avent hand pump, and has been
getting about 30 on one side, and still 5 on the other.  Same pumping
stimulation.
I asked her again maybe something she left out in History... Thyroid,
Placental fragments, (she is not bleeding anymore).  But she did say when
she was about 12 she ran into a bannister and severely banged that breast
(the same one that is barely producing) and was in major pain for at least
a week.  Can this be related to the small output?  Why is her other side
not producing more?  Why was the Lactina not working?  Has anyone ever seen
anything like this?

Can't wait for some of your insights!

Jessica Billowitz,  IBCLC
Israel
(who sometimes feels like the other lady in the cartoon that someone
posted.. and I don't mean the mother who nurses in public!  I do that too!
We are waiting for vacation to end and school to start!)

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