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Date: | Tue, 19 Dec 2006 18:34:18 -0500 |
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Hi all,
I am working with the mother of a 3 month old, who is returning to work in
two weeks and plans to formula feed while at work and breastfeed while at
home. Pumping at work is not an option. Last week, she removed first one
daytime feed and then another one, and unfortunately switched her birth
control pills to an estrogen containing pill. She feels that there was an almost
immediate drop in supply, baby fussy at the breast and hungry following and
between feeds. She has stopped taking the birth control pills.
I have 2 questions. She is considering the Paragard IUD, a copper containing
device, - does anyone have an opinion on this and breastfeeding, I searched
the archives and the only concerns I could find seemed to be connected to a
possible thinning of the uterine wall due to breastfeeding, leading to potential
complications.
Second question - have the hormones and weaning thrown her body into such
a state of confusion that she will need to relactate, use galactogogues etc.
or will stimulation alone bring back her supply, if she stays off the pills? Or do
we just try stimulation and if that doesn't work, move on to something like
Domperidone. I suggested taking Fenugreek right now, but I have to say that
I am unclear as to whether it (or Domperidone) will be helpful if the mammary
gland has already involuted. Will it maximize whatever function is left?
Thanks,
Kathy Lilleskov RN IBCLC
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