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Date: | Mon, 19 Nov 2007 20:45:29 -0600 |
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Did mom have infertility issues? Did she have breast enlargement during the
pregnancy? Do her breasts appear hypoplastic?
She deserves to have some labwork if she has not already. Prolactin hormone
before and 1/2 hour after nursing (or at least one random value), thyroid
panel and testosterone. I normally get a HCG, but if she had a D and C the
retained placental fragment should be ruled out.
If the testosterone is high, she may have a theca-lutein cyst, and her
supply should come up as that fades out over several weeks provided she
keeps removing what is there. If the thyroid is abnormal, that can be
treated and hopefully improve her supply, but if she did not have breast
changes during pregnancy (implying lack of development of the milk-making
tissue) there may not be much you can do.
Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE
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