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Date: | Thu, 16 Mar 2000 10:56:32 -0400 |
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Becky -
If this mother's prolactin levels were low during pregnancy, that could have
compromised her breast development. Lawrence says "prolactin is essential
for complete lobular-alveolar development of the gland" (p 64 current
edition). She might still have had some enlargement, but perhaps not enough
to support a full milk supply. Just boosting her prolactin levels after
birth might not be all that effective for her because the tissue *on which
prolactin acts* may just not be there. But that's not all bad news.
As far as I can see, that puts her in the same category as an adoptive
mother: she needs to create tissue through sucking. It takes time, but it
works. If she can learn to love a feeding tube (along with prolactin
boosters), I'll bet she'll see a gradual and definite increase in supply.
The keys would be patience and plenty of nursing - no overnight fix.
Diane Wiessinger, MS, IBCLC Ithaca, NY
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