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From:
Yasmeen Effath <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 10 Nov 2009 09:18:38 -0800
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I am may not be give you any suggestion on allergic effects 
Hi Wendy,

I am may not be give you any suggestion on allergic effects of fenugreek or blessed thistle but I thought I could let you know you could even suggest Asparagus Racemosus. Here in India you get it packaged as granules and is called Shatavari and it works well to increase grandular tissue and thereby milk production. This is a Ayurvedic herbal supplement considered as a galactagogue for over 1000 years in Ayurveda.

Not all mothers are able to produce large quantities of milk using pumping techniques. Have you considered hand expression? According to Breastfeeding Answer Book, the touch factor facilitates MER. Hand expressing sometimes much better than any pump can.

Besides, I found this excerpt from the Journal of Human Lactation:
 
Disruption of Lactogenesis by Retained Placental Fragments. Ann M. Anderson, RN, BSN, IBCLC
 
This case report describes a situation in which lack of milkproduction led the mother to seek help from a lactation consultantin private practice. Despite extensive breast stimulation withthe baby at breast and mechanical breast expression, no milkwasproduced. Retained placenta was suspected by the lactation consultant.The mother was later diagnosed with placenta increta. Only whenthis condition was diagnosed and resolved did milk onset occur.It is important to evaluate for retained placental fragmentswhen lactation appears to be delayed.

Hope that helps. I hope to be a IBCLC candidate in 2010 too!!  Best of Luck.

Thanks

Yasmin, India




________________________________
From: Wendy Beals <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, 10 November, 2009 21:09:39
Subject: Allergies to mother's milk ingredients

Hello there,

    I was wondering if someone could answer or find some info for me:

      Permission to post:  Mother is 48 years old, first baby, 1 week old.  Mother says she is pumping whenever baby is not at breast which is every 2-3 hours and she can get a few drops out of right breast and a teaspoon or so out of left breast.  Baby definitely hungry and frustrated after feedings and mom is supplementing due to definite lack of production.  Mom says she did not see any changes in breast size during pregnancy and also since the birth.  When I asked mom about any increase in her postpartem bleeding. she says she did notice yesterday or the day before that her flow got a little bit  heavier and brighter red when it had already darkened.  We talked about mothers milk tea and she says she is allergic to cilantro, coriander and lemongrass and is wondering if she could potentially be allergic to the fenugreek in the tea as well.  I was also suggesting to mom that blessed thistle works well together with the fenugreek as
 supplements to help increase supply and would check out the allergy potentials for her.

  So, I guess my questions are about the allergy to the herbs, could she also be allergic to feugreek and blessed thistle, and also what have been your experiences with allergies to these herbs listed above?

  Mom is going to talk to her hcp about the increased bleeding could she have some retained placenta and also about starting Reglan.  Any other ideas?  I also forgot to mention that baby was born via c-sect.

  Thanks in advance for letting me pick your brains!!
    
                  Wendy Beals, LLLL (hoping to be a candidate for the IBLCE in 2010)

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