Becky,

Is it possible that the OB's objections to continued bf in this patient are
more related to concern over oxytocin/increased uterine contractions
associated with bf rather than the med itself?  It has been my experience that
patients who have ANY problem with first trimester pregnancy loss are
cautioned to avoid orgasm and breast stimulation, at least throughout the
early weeks.  Even though the literature seems to indicate that as long as the
primary problem (such as low progesterone) is addressed, that orgasm and
breast stimulation DO NOT cause miscarriage, patients will often be advised to
avoid them "just in case".

Which brings me to a new question-- the flip side of yours.  I know an
adoptive mom on estrogen therapy who wants to try inducing lactation.  It is
my understanding that ET will most likely reduce quantity of BM this mom is
capable of producing.  Is there anything else she should be aware of?  I do
remember seeing something about this subject in the archives... will search
there also.

Marie deSoto, R.N.