I'm wondering if anyone has had experience with reduced breastmilk supply with the mini-pill Exluton (containing lynestrenol). I haven't had one of these for a while, but have just seen a mom who wants to persuade her 11 week old to take EBM in bottle so she can take a break from the baby. Baby is exclusively breastfed, looks great, refuses dummy (pacifier) and refusing EBM in a bottle. Mom is very devoted to her but a little depressed, and it turns out that she does little more than breastfeed the baby, hourly by day and 3-hourly at night. Baby was born at 38 weeks weighing 2350g, discharged at 3 days at 2250g (loss of only 4.3% so things obviously went well from the beginning). At 42 days she weighed 3640g (an average gain of 35.6g/day) when mom was prescribed, and started taking Exluton (lynestrenol). 37 days later baby weighs 4260g, an average gain from 42 days of only 16.7g/day - ie less than half! I know this might probably be interpreted as okay-ish, but I think the difference is fairly dramatic, and combined with the very frequent feeding, no supplements, no dummy, would indicate that something is going on. Exluton is a progestin-only contraceptive pill which is subsidized by USAID. Consequently it's cheap to the consumer. I believe it replaces another mini-pill which we used to receive courtesy of USAID called Ovrette, on which I collected 15 case histories of low supply, fussy babies, low weight gain and breast refusal, many of which resolved within about 5 days if the mother stopped taking the Ovrette (0.075mg norgestrel). This case now is the third one I've collected of similar symptoms in a mom taking Exluton. I don't hear these stories about other un-subsidized, much more expensive mini-pills, such as Microval (30 mcg levonorgestrel) or Micronor (0.35 mg norethisterone). Is this a coincidence? Does anyone else in the world use Exluton and what do you find?? Pamela Morrison IBCLC, Zimbabwe [log in to unmask] *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html