>
> Karyn-Grace,
>
> As every mother is different, it's difficult to know what will work and what might not -- however, it seems you have done an amazing job supporting this mother and getting her and her baby on the right track!
>
> The mothers I've worked with who have IGT/hypoplasia have all used goat's rue and fenugreek, and all have reported a difference with them. One has used Domperidone. Several of the stay-at-home moms added a few pumping sessions to their day and were able to add what they pumped to the supplementer, which eliminated ABM for one or more feedings while also maximizing breast stimulation. Other mothers were not even remotely interested in adding pumping to their days.
>
> Something else that had good effect for several of the IGT mothers I've known was sesame seeds. Sesame seed candy, tahini, one mother made and drank sesame seed milk and loved it.
>
> I think herbs are worth a try. Some of the mothers I've helped found generous milk donors and supplemented with that. All of the mothers were pleased to see a decrease in the need for supplements once solids were started (makes sense, right?). I'm pretty sure it's Dr. Newman who recommends, if baby is ready, solids over ABM since solids are real food and not an engineered product.
>
> I'm sure you're already doing this and let me reiterate what a treasure you are to this mother -- at this point, as you offer any options to this mother, be sure to praise her and celebrate with her every drop she's making for her baby! Allow her to choose whether to take additional measures or to "define her own success" (concept borrowed from Diana West) in what she has already achieved if tinctures, pumping, etc. just feel like too much for her.
I can't recommend Diana West and Lisa Marasco's "Making More Milk" highly enough. There is tons of good info in there.
>
> I'm so thrilled to read of the success you've helped this mother and baby achieve! She's breastfeeding!
>
> --Diana Cassar-Uhl, IBCLC and LLLL in upstate NY
>
> On Mar 27, 2011, at 12:00 AM, LACTNET automatic digest system <[log in to unmask]> wrote:
>
>> There is 1 message totaling 74 lines in this issue.
>>
>> Topics of the day:
>>
>> 1. Experts in low supply, please weigh in!
>>
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>> ----------------------------------------------------------------------
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>> Date: Sat, 26 Mar 2011 20:57:45 -0700
>> From: Karyn-grace <[log in to unmask]>
>> Subject: Experts in low supply, please weigh in!
>>
>> Permission Granted:
>>
>> Particulars on Client:
>> 18 year old first time mom;
>> 'low grade' insufficient glandular tissue (space between breasts is a few
>> millimeters greater than 1.5"; inner quadrants are not as full as outer
>> quadrants, but difference is not marked);
>> no, or very minimal breast growth during pregnancy;
>> anemic during pregnancy;
>> significant blood loss post partum (non-hemorrhage);
>> resulting delayed LII;
>> poor latching and positioning;
>>
>> Infant became dangerously dehydrated before problem was discovered.
>>
>> I came on scene at day 11 after SNS and formula supplements were started.
>> Domperidone started.
>> I confirmed suspected ISG and discovered that maternal milk ducts are far
>> behind the areola. Let down was very slow in coming. I helped to refine
>> all necessary techniques to acheive better latch, positioning, and breast
>> stimulation.
>>
>> At the time of my consult, mom was offering about 50% of infant's food
>> intake via SNS. As of today, she is offering about 25% divided between 3 to
>> 4 of 8 - 10 feeds in 24 hours. Baby is reverse cycling. Mother reports
>> that supplements are necessary in the morings... first 3 to 4 feeds of the
>> day. After long sleep and napping, breast only is sufficient (later in the
>> day). Mother reports breast growth and increased milk production since
>> increasing stimulation techniques and taking domperidone. Baby gaining well
>> - 1 oz per day for the past 10 days, and that is with a decrease in
>> supplement over that time.
>>
>> My question is this: Given the ISG, will herbs make a difference here? If
>> this mom can produce 75% of baby's needs, can she produce 100%? I'm
>> thinking Goat's Rue for mammary growth (it is now 21 days post partum) and
>> the typical lactation herbs, as well as natural iron supplementation.
>> Mother really wants to get off the supplement.
>>
>> Given mom's economic circumstances, I don't want to recommend anything
>> without a reasonable expectation of success.
>>
>> What do you all think?
>>
>>
>> Karyn-grace Clarke, IBCLC, RLC
>> Registered Lactation Consultant
>> HAPPY TRIBE CONSULTING
>> <http://www.happytribe.ca/> www.happytribe.ca
>> Nanaimo, BC, 250-739-3146
>>
>>
>>
>>
>>
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>> ------------------------------
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