>This situation is slightly different than the usual nausea situations I
>have seen. I am posting a request for assistance from a local
>midwife.  Key points to note are that she has nausea as a response to
>oxytocin release (?) currently at letdown but also prepregnancy during
>nipple stimulation and orgasm.  Supply is very low. The nausea is
>profound, not minor.   She is at the point of weaning. Anyone have any
>suggestions?

Please reply to my direct email as well as the listserv as I will be
forwarding responses on to the midwife. [log in to unmask]

>"As discussed EF is a 1st-time mom experiencing significant nausea
>coinciding with her let down.  She had a C-section one week ago, has not
>had one sign or symptom of infection anywhere in her body- including
>breasts, uterus, bladder.  She had a fairly good hemoglobin to start and
>has had very minimal lochia.  All vitals normal.
>
>The nausea started with her milk coming in a few days ago and has been
>increasing.  The baby lost quite a bit of weight initially and has needed
>very frequent feeds to increase his weight and her supply.  Pumping
>produces the same effect.  It does not appear to be postural and she is
>quite well rested.
>
>She has no history of sexual abuse and has no "issues" about her
>breasts.  Interestingly, she informed me that she has experienced a lesser
>amount of nausea with breast stimulation and orgasm when she wasn't
>pregnant."
>
>I have recommended:  1) minimizing the exposure to the nausea without
>further compromising supply by double pumping every 3 hours for 10
>minutes.  2) she takes 50mg Gravol with some effect to reduce the nausea
>and encourage calorie intake.  3)  Ensured good posture while feeding and
>pumping for optimal blood flow.  4) Baby is being supplemented with
>formula and is occasionally put to breast when she is feeling up to it.
>
>Having followed these instructions for two days now, she is feeling better
>provided she takes the Gravol.  She is starting to eat solid foods
>again.  However, I continue to have concerns about her supply.  I also
>have concerns about sedating the baby through exposure of gravol in her
>breast milk.  I regard this as a temporary measure but there is no telling
>how long she could experience this nausea or if it will ever go away given
>her prepregnant history...  Another thing I have suggested but we havn't
>tried is hypnotherapy.  She is really committed to breastfeeding but I am
>not sure how long she would be willing to wait.
>
>Thanks for the help and can't wait to hear your feedback!
>
>S

Rhoda Taylor, B.A., IBCLC
Vancouver Island, Canada

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