I have a mom who has had Type 1 diabetes since childhood. She uses an insulin pump and maintains tight control over her blood sugar, testing herself perhaps ten times a day. She tends, if anything, to stay on the low side, but she stays in the normal range. Her health otherwise is fine and she is of normal weight. Her first child was born 3 years ago, at about 36 1/2 weeks, weighing 5 lb 10 oz. Lactogenesis was not delayed, but it took her several months to wean completely from supplements. She is still nursing her three-year-old. Her second child is 7 days old (born 3/3). Breast changes were among her first signs of pregnancy. Her baby was born at about 38 weeks, weighing 6 lb 11 oz. She had been "fighting some kind of virus" for about a month before the birth - cold, sinus infection, lingering cough - and she had a stomach virus 2 days before she began labor. That night she had difficulty keeping her blood sugar up that night because of vomiting. In trying to stabilize it, she ended up a bit high, then stabilized. She entered labor very sleep-deprived and got very little rest in the hospital. She was diagnosed with pneumonia within hours of the birth, and was hospitalized for several days because of her illness. The day following this baby's birth, her blood sugar was very high and her intake was very low. The fever and nausea associated with her pneumonia are gone, but she still has a headache and very little energy. She breastfed for a few days following the birth until it was clear that nothing was happening. She did have colostrum at first, but by 3 days could express nothing at all, either by hand or by pump. She has continued to pump 6 times per day (the most she felt she could manage), and now, at one week, she still obtains nothing with the pump and has no sense of fullness. There are no signs of retained placenta. Thyroid was tested at the beginning of her pregnancy and was normal. Although there was substantial blood loss with the first birth, that wasn't true this time. Both births were vaginal. Is this most likely connected with maternal illness and all we need is patience? Is there anything we could be doing? Domperidone? -- Diane Wiessinger, MS, IBCLC Ithaca, NY www.wiessinger.baka.com *********************************************** 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