Permission Granted:
 
Particulars on Client:
18 year old first time mom;
'low grade' insufficient glandular tissue (space between breasts is a few
millimeters greater than 1.5"; inner quadrants are not as full as outer
quadrants, but difference is not marked); 
no, or very minimal breast growth during pregnancy;
anemic during pregnancy;
significant blood loss post partum (non-hemorrhage);
resulting delayed LII;
poor latching and positioning;
 
Infant became dangerously dehydrated before problem was discovered.
 
I came on scene at day 11 after SNS and formula supplements were started.
Domperidone started.
I confirmed suspected ISG and discovered that maternal milk ducts are far
behind the areola.  Let down was very slow in coming.  I helped to refine
all necessary techniques to acheive better latch, positioning, and breast
stimulation.  
 
At the time of my consult, mom was offering about 50% of infant's food
intake via SNS.  As of today, she is offering about 25% divided between 3 to
4 of 8 - 10 feeds in 24 hours.  Baby is reverse cycling.  Mother reports
that supplements are necessary in the morings... first 3 to 4 feeds of the
day.  After long sleep and napping, breast only is sufficient (later in the
day).  Mother reports breast growth and increased milk production since
increasing stimulation techniques and taking domperidone.  Baby gaining well
- 1 oz per day for the past 10 days, and that is with a decrease in
supplement over that time.
 
My question is this:  Given the ISG, will herbs make a difference here?  If
this mom can produce 75% of baby's needs, can she produce 100%?  I'm
thinking Goat's Rue for mammary growth (it is now 21 days post partum) and
the typical lactation herbs, as well as natural iron supplementation.
Mother really wants to get off the supplement.
 
Given mom's economic circumstances, I don't want to recommend anything
without a reasonable expectation of success.
 
What do you all think?


Karyn-grace Clarke, IBCLC, RLC
Registered Lactation Consultant
HAPPY TRIBE CONSULTING
 <http://www.happytribe.ca/> www.happytribe.ca 
Nanaimo, BC, 250-739-3146

 

 

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