Dear Lactnetters,
        I am working with my second case as a new private practice LC (after 10 years
as a LLL leader) and already I am stumped.  I have a first-time mom who still
has no milk, only colostrum on day 8.  She is pumping 25-30 ml about every 2
hours.  The baby was breastfeeding well day 1 and 2, but things went steadily
downhill from there.  Baby has a weak suck, was very sleepy and is presently
hospitalized on IV and testing.  Mom has been double pumping every 2 hours (
not total compliance, but pretty good) since day 6.  I find nothing in the
books about milk coming in this late.  I was thinking about having her
prolactin level tested.  We called the midwife about retained placenta and
midwife assured her there was none. No HX of breast injury or surgery, no back
problems.  Also, would Reglan bring in the milk?  I would appreciate your very
knowledgeable and much more experienced opinions.  Please email me privately.
Judy Gutowski, IBCLC