i haven't looked up the glucophage, but i predict the most likley scenario
is low milk supply. the pcos has likely contributed to this primary
lactation insufficiency, and then less than optimal bf practices were
superimposed on this. less than ideal practices are really the norm in US
hospitals, so I feel safe in saying that probably was a contributor as well.
the baby may have had abnormal electrolyte values and urine test results and
signs of dehydration.
this dyad definitely need close followup, with several pre/post feeding
weights, milk expression to help the supply, possible galactagogues, and of
course optimal bf practices incl. position and latch.
very close f/u with the dyad and all the docs involved.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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