Dianne
Sounds like things in the history may have contributed to low milk supply:
<<recovering from a flu that had lasted for some weeks>>
Was she vomiting and having diarrhea? Dehydrated? How sick?
<<history of severe anemia>>
Can be linked to low milk.
<<Fatigue had precipitated giving supplemental bottles>>
If this was about at one month old this could have contributed further to
the downward spiral before her milk supply was well established.
<<first saw this mom, the baby was not latching well, with pursed
mouth and clicking>>
Was this the "cause" of low milk or the "result" of low milk.??
<<two lumpectomies in the years since she nursed her last baby>>
Maybe caused some damage too? Not high on my list actually, though not
seeing where they were done and how the scars look. near the areola or far
away?
<<Baby was, and continues to gain fairly well (4 ounces per week, on
average)>>
This may be fine, but if you first saw her in March and now it is May, baby
maybe could be gaining better.
I hesitate to bring up the mom's age, but some anecdotal reports indicate
that some "older" moms may have low milk. Was she perimenopausal with some
hormonal fluctuations?
[realize I have nursed a child in my 40's so I am not biased against older
bf'ers].
Advice - the usual increase your milk protocols:
feed the baby, maximize milk production; check thyroid (hx fatigue), correct
anemia if still present, breast compression, express what she can manage
with hosp grade double pump, and give in nursing supplementer ("may" need
supplemental donor or artificial milk), herbs, domperidone - she can get
from mexico herself if willing w/o prescription, cosleeping, emotional
support. Good luck to all.
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA
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