I'm wondering if anyone has had experience with reduced breastmilk supply
with the mini-pill Exluton (containing lynestrenol). I haven't had one of
these for a while, but have just seen a mom who wants to persuade her 11
week old to take EBM in bottle so she can take a break from the baby. Baby
is exclusively breastfed, looks great, refuses dummy (pacifier) and
refusing EBM in a bottle. Mom is very devoted to her but a little
depressed, and it turns out that she does little more than breastfeed the
baby, hourly by day and 3-hourly at night. Baby was born at 38 weeks
weighing 2350g, discharged at 3 days at 2250g (loss of only 4.3% so things
obviously went well from the beginning). At 42 days she weighed 3640g (an
average gain of 35.6g/day) when mom was prescribed, and started taking
Exluton (lynestrenol). 37 days later baby weighs 4260g, an average gain
from 42 days of only 16.7g/day - ie less than half! I know this might
probably be interpreted as okay-ish, but I think the difference is fairly
dramatic, and combined with the very frequent feeding, no supplements, no
dummy, would indicate that something is going on.
Exluton is a progestin-only contraceptive pill which is subsidized by
USAID. Consequently it's cheap to the consumer. I believe it replaces
another mini-pill which we used to receive courtesy of USAID called
Ovrette, on which I collected 15 case histories of low supply, fussy
babies, low weight gain and breast refusal, many of which resolved within
about 5 days if the mother stopped taking the Ovrette (0.075mg
norgestrel). This case now is the third one I've collected of similar
symptoms in a mom taking Exluton. I don't hear these stories about other
un-subsidized, much more expensive mini-pills, such as Microval (30 mcg
levonorgestrel) or Micronor (0.35 mg norethisterone).
Is this a coincidence? Does anyone else in the world use Exluton and what
do you find??
Pamela Morrison IBCLC, Zimbabwe
[log in to unmask]
***********************************************
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
|
