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Subject:	client at end of her rope
From:	laurie wheeler <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 17 Sep 2007 11:58:12 -0500
Content-Type:	text/plain
Parts/Attachments:	text/plain (20 lines)

Mom could use a nursing supplementer (supply line) at breast. I would check
baby's oral anatomy to see if there is tongue-tie or something, which in my
experience, can lead to mom's milk not coming in due to ineffective
suckling. I would also recommend mom see her primary caregiver for a workup
as to why she has not experienced lactogenesis II.
Reglan (metoclopramide) is recommended to be tapered off, so I think the
abrupt discontinuation of it could have definitely had a negative impact on
her supply.
Laurie Wheeler, RN, MN, IBCLC
MISSISSIPPI USA

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