>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 *********************************************** 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