Hi All,

 

Client #1:  Has history of IBS, low thyroid (great endo who monitors and
adjusts meds regularly) and an autoimmune disorder that caused issue with
her platelets and had to have her spleen removed a few years ago.  Milk
supply LOW - did a prolactin level test - came back 108 for day 8.  Clearly
an issue.  She took the test early am just after pumping (baby has issues
and is not yet breastfeeding).  We are discussing Domperidone and herbs.  

 

Question:  Will domperidone cause an issue for a woman with above history?
How about herbs such as Fenugreek, Blessed Thistle, Nettles, Fennel and
Goat's Rue (Motherlove More Milk Special Blend).

 

Client #2:  Breast cancer 2 yrs ago - right breast removed - radiation and
tomoxifan.  ( months ago discovered she was pregnant - stopped Tomoxifan
immed.  Issues now:  Difficulty with latch on led to terribly damaged
nipples - went to pumping with Classic - no one checked sizing - flange too
small and caused regular pain with pumping.  Mom got engorged on day 5/6 but
did best she could with pump.  Milk supply is very poor - she is 3 weeks out
now.  I believe that milk supply issue is most likely due to poor removal
due to baby and flange.  We are looking at starting with More Milk Special
Blend and possibly domperidone to boost milk supply.

 

Question 1:  Can radiation affect the healthy breast and lead to inability
to produce milk?

Question 2:  Info in drug book mom owns (she is an RN) states that
Domperidone is not safe to use in women who have had breast cancer.  Is this
accurate?  

 

Thank you!

 

Please e-mail privately and to the list.

 

 

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

 


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