Hi Colette,

I'm working with a mother in a very similar situation.  If you get any
off-list suggestions, could you please forward them on to me?  It sure would
help us.  Thanks!

Debbie Gillespie, IBCLC, LLLL
Tempe, AZ


On 2/16/07, Christopher Baran <[log in to unmask]> wrote:
>
> I was asked to post this case (by the mom involved).  We are hopeful that
> someone will have some input for her for future reference.  Just to
> preface...she is a CLC and was working with 2 area IBCLCs, myself (a CLC),
> and her OB.
>
> This mom pumped approx. 10 oz. every am from 1 1/2 months after birth in
> addition to nursing her baby.  She had an extreme over supply.  Several
> times she had tried to back off her pumpings/supply as she had a ton of milk
> but would fill up and be quite uncomfortable.  She would pump for comfort
> (she was still nursing the baby as well).  When baby was 11 months old she
> went away for 5 days (was separated from baby) and attempted to reduce
> supply.  She pumped (out of being so full and uncomfortable) 3 x/day getting
> 10 oz. each time.  She only pumped for comfort and never drained the breasts
> at this time.  She felt over full all the time.  There was never a time that
> she felt her body was absorbing.  She just kept producing. No leaking.  She
> then attempted to go 24 hours w/o any stimulation at all.  She wound up
> after the 24 hours pumping (she was very uncomfortable at that point).  2
> days later she tried to go 36 hours with same results, just more
> extreme.  She then pumped and nursed the baby until she felt she "emptied"
> the breasts.  The longest stretch she attempted was 5 1/2 days...which was
> unbearable for her and had to get some relief by pumping/nursing.
>
> She had tried no stimulation, sage, cabbage leaves, Sudafed, birth control
> pills.  Nothing reduced the amount of milk that she was producing.  She
> would continue to fill up.  Her prolactin and thyroid levels were drawn and
> were normal.
>
> She finally was given 3 pills of Cabergoline (1/2 pill ea. dose...6 doses
> total).  She seemed to finally get some relief using this method....1st dose
> she took, pumped 25 oz. and nursed her baby.  3 days later she filled up
> again, pumped and nursed.  This process continued for a bit and is now
> completely weaned.
>
> Any words of wisdom for this woman.  Are there any conditions that would
> make a woman not able to naturally wean?  Any suggestions as to where to
> look for answers?
>
> Thanks so much in advance.
> F.R.O.G.
> Colette L. Baran, CLC
> Berkshire Nursing Families
> Berkshire North WIC
>
>
>
>
>
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