Tomorrow I meet with a woman who contacted our BF support network by phone,
and as her problem is not one I've run across before, I'd like input from
anyone with bright ideas about how to pursue this. I'll be checking my
e-mail before I go to work Monday morning, but won't have time to go through
all the digests, so please respond to me privately as well as to the list.
Mother has a 5.5 month old baby who has been exclusively breastfed without
problems since birth, and a few weeks ago started cereal before bedtime.
Baby has slept through the night since 5 weeks of age, weight gain is fine,
baby is healthy in every way.
Mother has noted an active MER all along, and until about two weeks ago was
needing to use breast pads 24 hours a day because of leaking. When baby
started sleeping from 730 p.m. til around 8 next a.m., mother began pumping
both breasts before bed, and usually obtains about 150 ml (6-7 oz.) which
she has frozen to use in baby's cereal.
Mother had first menses since the birth, last week. On Friday she tried to
breastfeed in the evening, as usual, and had no MER, and no milk release.
Had hot flashes, perspired 'so I was soaked' and felt almost feverish. No
redness, tenderness, or swelling of the breasts and no fever, and mother
felt otherwise as she normally does. Next morning she managed to pump some
milk and since then she has not been able to get any milk out of her breasts
until she obtained a Syntocinon (oxytocin) nasal spray. With the spray, all
is as it normally is. Without it, she continues to have hot flashes if she
attempts to BF or to pump.
I am thinking it could be her menstrual cycle, it could be other endocrine
disturbance (what?) or it could be neurological. When we meet I will
examine her breasts and try to observe a feed or a pumping without the
spray. What else should I be looking for? What should I be thinking of?
Rachel Myr ([log in to unmask])
Kristiansand, Norway
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