Dear Lactnetters,

I am posting for a colleague who is dealing with a mom with possible  
Sheehan's Syndrome. We have permission to post.

This is mom's  2nd baby - she nursed her first child for 18 months,  
never any milk supply issues even following a C/S.  This time around,  
she Vbac'ed, had a traumatic forcep delivery that resulted in post- 
partum hemorrhage. She needed two units of blood, and had severe  
hypotension.  Her son is one week and two days old, was hospitalized  
for dehydration because she had no idea from his vigorous, frequent,  
nursing that he wasn't getting anything.  She is pumping (with a  
Symphony every 3 hours)  but can't produce anything more than drops of  
colostrum.  She has had an ultrasound, and there is no evidence of  
retained placenta. She also had a high fever about 5 days post-partum,  
but WBC counts were normal. She is visiting OB today to have prolactin  
levels checked and she will inquire about sulpride and nasal oxytocin  
spray. She is currently giving baby donor milk.

We read the Lactnet archives, and it looked like the most recent  
discussion about Sheehan's was from 2007. Is there anything new since  
then? Are we missing anything that would be helpful to this mom?

Thank you in advance for your thoughts and insights.

Warm regards,

Laurie Shornick, PhD, IBCLC, LLL
St. Louis, MO

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