Good evening all. I have permission to post. A set of twins. 5 weeks old,
approx. Mother had initial problems getting pregnant. Took Clomid. I saw her
later on, after she had been working with someone else for the five weeks.
She has about half the milk she needs for her babies... Who are growing
normally. She alternates breastfeeding for each feed, with one baby getting
breastfed and one bottlefed with formula at each feed. They are growing
well. She can pump about 1.5-2.5 oz with her PNS at a sitting. She has had
problems increasing the supply, despite good latches, 80 mg of Domperidone a
day, Goat's Rue (which has helped a bit)... Fenugreek, and Blessed Thistle.
She breastfeeds a total of 8 times a day. She is not able to do feeding tube
at breast, etc, because she has very little help at home, and is at the end
of her rope in terms of what she can do. She feels that she is doing nothing
but feeding them all day, every day.
Any thoughts? I am wondering what the relationship is between Clomid and
difficulty getting pregnant, in her case, to the present issues. I think she
just got off to a bad start, and hasn't been able to come up to the level
necessary for twins, but if anyone has any other thoughts, I would
appreciate it. I know I've forgotten some details...here, as it's
late...but... Any thoughts appreciated. It's a balance between sleep,
enjoying her babies, and trying to build supply. She doesn't have a lot left
to do more....
Kathleen
Kathleen Bruce RN IBCLC
Independent consultant: Breastfeeding Clinic of Vermont, Lactation
Resources of Vermont, Medela, Inc. Listowner Lactnet listserv
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