I am posting this for a fellow LC who is not subscribed to lactnet but
really needs some input.
You can email me or her privately if you like.  Thanks again!

>I really need help with this one.  I have a client who has a history of a
>pituitary adenoma.  Her periods stopped when she was a senior in High
>School, and the diagnosis was made much later, at which time she began on a
>7 year course of bromomcriptine.  The adenoma did shrink, and her periods
>returned, so she was told it was O.K. to stop the medication.  From time to
>time over the years before the medication began she had leaked fluid from
>her breasts and had to wear pads.  Once off the medication,she went on to
>get pregnant without much intervention.  She never produced an adequate milk
>supply, despite SNS and pumping, ect...  She had a pregnancy loss a year or
>so ago and received methotrexate for a suspected ectopic pregnancy.  She
>then took a few rounds of clomid, as she was now in her 40's, and became
>pregnant again.  Her baby is now close to 1 week old and she does not seem
>to be bringing in a milk supply, although I know it is still early.  Her
>baby is refusing to nurse for long, and her breast are soft and flaccid, and
>colostrum is very difficult to hand express, although I did see a drop.  The
>baby's weight is down, and he is jaundice.  Uric acid in the diaper, dark
>stool, the whole bit.  He is being supplemented.  Is there any thing out
>there about reversing the effects of the bromomcriptine?  Would Reglan be
>possibly indicated?  Is a prolactin level  be helpful?  Any info would be
>appreciated as this mother is fragile, and deperately wants to nurse this
>baby.  Donna Norris  978-470-3548  [log in to unmask]

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