hi- Kerri Smith wrote:

<<"Hi there.  It sounds like this Mama has PCOS (Polycystic Ovary  Syndrome)
which is a cause of infertility and is closely connected with Insulin
Resistance.  Metformin (glucophage) is a common and effective treatment for
helping to
balance the underlying hormonal issues in PCOS.
PCOS is a risk factor for lower milk supply.  I remember reading an  article
recently about it being the major cause of true insufficient milk  supply.
Do
a search for "PCOS breastfeeding" on google and you should be  able to find
more info on that.  But taking metformin in pregnancy and  lactation is
considered safe according to recent research by Thomas Hale.   Some Doctors
are using
it to boost milk supply in PCOS or insulin resistant  patients with good
results.  It has also even been shown to reduce  miscarriage rates in women
with
PCOS.">>


    Interesting coincidence, I was just reading this post when I got a call
from a mother with PCOS who was worried about her milk supply.  Her doctor
told her she could not take the glucophage while breastfeeding, so I am
intersted in finding a reference I can give to her.   However, I am not sure
if the PCOS is what is going on here.  Her baby is 12 weeks old and
everything has been going well up to this point.  Would she have had
problems earlier on with milk supply due to PCOS?  Mom is also hypothyroid
and is having her levels checked in a couple of weeks.

Basically the baby is resisting being breastfed except for the first morning
breastfeeding- otherwise she cries, stiffens body, pulls off.   Both mother
and baby are being treated for thrush- started treatment on Friday and baby
started refusing to nurse on Monday, so I don't know if that could be
related either.  Went over other ideas- teething, ear infection, change in
detergent or deoderant, any new stress....  Mom has started giving a bottle
of formula each day, since the baby will go up to 6 hours without nursing.
I recommended nursing in a quiet room, bathtub, while baby was sleeping, and
giving the formula in a syringe while breastfeeding.  I didn't get any
"vibes" or feedback from this mother that she liked any of these ideas, so I
don't know what other direction to go in.

Any thoughts?

Sincerely,
Heather Reddout, LLLL and IBCLC hopeful, Plainfield, IL

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