Dear Pat
I doubt that being ACA positive would affect lactation directly
see this link for a good explanation of what it is which I found with Google
http://www.hygeia.org/poems4.htm
or do a search with Google for anticardiolipin antibodies or
antiphospholipid syndrome
it is auto immune, but I don't believe there is a connection with PCOS,
although I will stand corrected if there is!
Briefly, it causes clotting at the placental site causing recurrent
miscarriages and can cause hypertension as well. Hence the current
management is s/c heparin throughout the pregnancy. Was she treated with
this? Years ago they used to give steroids and aspirin. I worked in an
antenatal clinic for years and saw lots of these cases. Some sad ones-FDIU's
etc
I also have this syndrome, I'm Gravida 7 Para 3. Never had a supply problem,
just other problems not related!!
So I think its back to looking at other reasons for your clients low supply.
Cheers
Karen Clements IBCLC
Melb Aust
(where's it 31C degrees today-summer is here!!)

----- Original Message -----
From: "Pat A Bucknell" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, November 07, 2002 9:24 AM
Subject: low milk supply


> I have a mom who is on baby #3 and has always had supply problems.  She
> has been renting an Ameda breastpump from me and I have found out these
> things piecemeal from phone calls with her.  She said she had fertility
> problems (no more details).  With this last pregnancy she was diagnosed
> with ACA+ (anti-cardio lipids ?).  Says it is an autoimmune problem.  I
> have no experience with this at all.  Just remember what Lisa Marasco
> says about PCOS (poly-cystic ovarian syndrome) being auto-immune and low
> milk supply can be a result.  Is there any relationship here?  Mom says
> she get about 1/4 oz total when she pumps, only has drips when she pumps,
> no sprays, has been on domperidone for about a week.  What do all of you
> think?  I told her to give domperidone 3 weeks.  She's also wondering if
> syntocinin spray for let-down would be helpful?  I told her I'd ask all
> of you.
>
> Warmly,
> Pat Bucknell, IBCLC
>
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