I have a mom with Baby #4 9 weeks old dx: Sheehan's syndrome (Pituitary necrosis) caused by post partum hemorrhage. Baby Girl: 10# at birth, 8# 8oz at 2 weeks, 9# 13 oz at 9 weeks Now supplemented by SNS with 20 oz enzyme enhanced ABM (N...)per day. Averaging 1 ounce per week for the last three weeks. Wet diapers, one BM qd or qod. Alert, responsive, no sign of dehydration. Mom: Taking synthroid and steroids. Was on Reglan 5 mg TID, now taked 5 mg qd due to "feeling tired." Drinking mother's milk tea. Pumped one ounce from both breasts when baby not being fed at breast. Feels tea has worked just as well as Reglan has. EBM seemed to have a "thick layer" of cream. Prolactin level has increased from 30 ng/ml to 67.9 ng/ml Pediatrician: Has written a script for banked human milk. Is not overly concerned about weight gain (or lack thereof). Feels baby's general health is good. Endocrinologist: No experience with lactation and Sheehan's syndrome. Has been tracking Prolactin levels per mom's request. Has no real feelings about mom's continuing to breastfeed, although feels it is unlikely. Questions: If Sheehan's syndrome causes atrophy of the reproductive organs (Lawrence p381) and breast tissue (per mom's studies), what chance is there for her to produce any, some, half, all this baby's milk needs? Is there anything that can be done beyond the usual measures for inducing lactation: Reglan, SNS, fenugreek, nipple stimulation, that might help increase her milk supply? Has anyone out there run into this situation before. TIA for any and all info on this unusual problem. Kate Grosmaire APL LLL Florida