I wonder if the mother has gone onto a hormonal contraceptive at this stage 
each time?

Virginia

----- Original Message ----- 
From: "Gretchen Knight" <>
To: <[log in to unmask]>
Sent: Tuesday, March 25, 2014 8:54 AM
Subject: Difficult case


This is my first time posting to this forum so please be gracious with me.
I have a 40 year old client who is six weeks postpartum with her 8th baby.
This is her second baby with our home birth practice.
She has had all unmediated uncomplicated births.  Client had breastfed each 
of her babies 15-17 months, but around 5-7 months they get very skinny and 
it has happened sooner with each baby.  She states that her supply plumets 
around this time with each child and happens sooner with each.  The babies 
act hungry and cry constantly, including all night long and therefore she 
feels she needs to supplement.  She did blessed thistle and fenugreek as 
well as a used hospital grade pump with the previous baby.
We have ruled out the obvious, the thyroid has been checked, discussed 
co-sleeping and parenting styles.  What is peculiar to me is that it has 
gotten worse with each baby, rather than improving as would be expected.   I 
realize I am probably missing many details, if you could provide any 
guidance I would appreciate it.  I am hoping to stay ahead of the issue this 
time.

Thank you,

Gretchen Knight RN, CLC
Believe Midwifery Services
(p) 317-434-BABY (2229)
(f) 317-688-1080

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