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Subject:
From:
Kate Grosmaire <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 22 Oct 1996 20:39:17 -0400
Content-Type:
TEXT/PLAIN
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TEXT/PLAIN (40 lines)
I have a mom with Baby #4 9 weeks old dx: Sheehan's syndrome (Pituitary
necrosis) caused by post partum hemorrhage.

Baby Girl: 10# at birth, 8# 8oz at 2 weeks, 9# 13 oz at 9 weeks
Now supplemented by SNS with 20 oz enzyme enhanced ABM (N...)per day.
Averaging 1 ounce per week for the last three weeks.  Wet diapers, one BM
qd or qod. Alert, responsive, no sign of dehydration.

Mom:  Taking synthroid and steroids. Was on Reglan 5 mg TID, now taked 5
mg qd due to "feeling tired."  Drinking mother's milk tea.  Pumped one
ounce from both breasts when baby not being fed at breast.  Feels tea has
worked just as well as Reglan has.  EBM seemed to have a "thick layer" of
cream.  Prolactin level has increased from 30 ng/ml to 67.9 ng/ml

Pediatrician:  Has written a script for banked human milk. Is not overly
concerned about weight gain (or lack thereof).  Feels baby's general
health is good.

Endocrinologist:  No experience with lactation and Sheehan's syndrome.
Has been tracking Prolactin levels per mom's request.  Has no real
feelings about mom's continuing to breastfeed, although feels it is
unlikely.

Questions:

If Sheehan's syndrome causes atrophy of the reproductive organs
(Lawrence  p381) and breast tissue (per mom's studies), what chance is
there for her to produce any, some, half, all this baby's milk needs?

Is there anything that can be done beyond the usual measures for inducing
lactation:  Reglan, SNS, fenugreek, nipple stimulation, that might help
increase her milk supply?

Has anyone out there run into this situation before.

TIA for any and all info on this unusual problem.

Kate Grosmaire
APL LLL Florida

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