I have a client who recently had an uneventful homebirth (besides SROM for five 
days) and just like her previous postpartum experience (IOL with pitocin), she 
vomits each time she breastfeeds. Clearly, now at day three she is exceptionally 
exhausted. Praise the Lord he is a fabulous nurser, but mom doesn't snuggle much 
because she tries to limit his time at the breast.

I appreciate this is related to the oxytocin release with let-down, but besides 
palliative treatment, are there other options? I had prescribed phenergan and 
toradol (she has increased cramping as well), but mom isn't comfortable with 
pharmaceuticals. I then suggested homeopathy (ipecac) and chasteberry. She is 
using an over-the-counter progesterone cream as well.

 Penny Lane BA, MSN, CNM
Believe Midwifery Services
www.believemidwiferyservices.com


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