As to low supply--I never assume less than the desired outcome and at the rate things are improving for this mom this is no reason to assume so here. How much domperidone is the mom on?
I use a combination herbal tea that moms can purchase premixed from a woman I know or can mix herself if she wants to purchase the individual herbs. Here in France, there are herbalists where moms can just order the herbs they want in the quantity they want. In the US, I tell moms to order from Mountain Rose Herbal, but they are sometimes out of supply, so their best bet is ordering premixed. I do not believe feungreek is anywhere near as effective as the combination of herbs, nor do I like tinctures as well as tea and I really discourage use of capsules. That said--perhaps the cheapest and easiest would be to use herbal tinctures from a company such as Motherlove. Goat's rue is a must.
I also teach moms EFT--it's free although some moms have more faith in a substance they can swallow than in the energy work, even though my opinion is quite the opposite.
Certainly, Rescue Remedy can be of aid to mom, especially when she pumps (if she still is).
Other herbs I use very often are malunggay and shatavari.
BUT, my focus is always on nutrition. I think the problems for a lot of LCs in trying to use nutrition as a tool is that they themselves are not well-educated in nutrition as it effects gut function, inflammation and healing. I just taught a workshop last weekend to about 60 LCs and that was a common comment--that they realized how lacking their own education is on the subject. It is not helpful to simply tell mom to eat well--moms have no idea what that means. I use nutrition in a very focused and individualized way, but among the keys are NO trans-fats, a lot of healthy saturated fats, EFAs, no factor-farmed animal products, nutrient-density as key, a focus on phytonutrients, supplements if needed, absolutely no non-foods and elimination of pro-inflammatory non-foods (cow milk, grains, processed garbage, synthetics, additives).
American women are generally overfed and undernourished. I will usually start with adding some really good nourishment (may include supplements) and eliminating the most egregious non-foods and as mom begins to feel better, make more changes.
Jennifer Tow, IBCLC, France
Intuitive Parenting Network, LLC
From: Karyn-grace <[log in to unmask]>
Subject: Experts in low supply, please weigh in!
Permission Granted:
Particulars on Client:
18 year old first time mom;
'low grade' insufficient glandular tissue (space between breasts is a few
millimeters greater than 1.5"; inner quadrants are not as full as outer
quadrants, but difference is not marked);
no, or very minimal breast growth during pregnancy;
anemic during pregnancy;
significant blood loss post partum (non-hemorrhage);
resulting delayed LII;
poor latching and positioning;
Infant became dangerously dehydrated before problem was discovered.
I came on scene at day 11 after SNS and formula supplements were started.
Domperidone started.
I confirmed suspected ISG and discovered that maternal milk ducts are far
behind the areola. Let down was very slow in coming. I helped to refine
all necessary techniques to acheive better latch, positioning, and breast
stimulation.
At the time of my consult, mom was offering about 50% of infant's food
intake via SNS. As of today, she is offering about 25% divided between 3 to
4 of 8 - 10 feeds in 24 hours. Baby is reverse cycling. Mother reports
that supplements are necessary in the morings... first 3 to 4 feeds of the
day. After long sleep and napping, breast only is sufficient (later in the
day). Mother reports breast growth and increased milk production since
increasing stimulation techniques and taking domperidone. Baby gaining well
- 1 oz per day for the past 10 days, and that is with a decrease in
supplement over that time.
My question is this: Given the ISG, will herbs make a difference here? If
this mom can produce 75% of baby's needs, can she produce 100%? I'm
thinking Goat's Rue for mammary growth (it is now 21 days post partum) and
the typical lactation herbs, as well as natural iron supplementation.
Mother really wants to get off the supplement.
Given mom's economic circumstances, I don't want to recommend anything
without a reasonable expectation of success.
What do you all think?
Karyn-grace Clarke, IBCLC, RLC
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