it seems like shes having the let down restricted due to some pressure on the breast at these "some times feedings" since its not happening everyday, then i would say, no evidence behind this, just speaking from experience, she may be holding the baby that was less than 21lbs in the same position she was when the baby was smaller. when my daughter latches on correctly, but i dint fully support her i have some of the same feelings, except i pain when i try to let down. she may have to resort back to pillows, maybe try football hold or lying down. i don't think drugs will help this, at least i hope they don't. she can also cut the fat from her diet for 3 to 7 days to see if that helps as well, but i think its position. hope this helps!
--- On Wed, 9/16/09, Barbara Ash <[log in to unmask]> wrote:
From: Barbara Ash <[log in to unmask]>
Subject: Erratic MER
To: [log in to unmask]
Date: Wednesday, September 16, 2009, 12:19 PM
I have mother's permission to post this request. The mother is exclusively
breastfeeding her 3rd child, who is six months old and 21 pounds. She nursed
her previous 2 kids for 18 months each. Until last week, she has had no
problems. Mysteriously and unpredictably, over the past week, her baby has
not be able to evoke a let down, nor has she been able to do it manually.
She's got a good milk supply, and feels full when this happens. When it's time
to feed the baby, only dribbles of milk drip from the breast. She feels no
physical symptoms of a let down, which she usually does. Nursing sessions
have lasted 30-40 minutes and still no MER. The baby is happy to stay at the
breast and NNS, though. After the unsuccessful feed and before the next,
she feels full and somewhat uncomfortable. But, she has no plugged ducts, no
signs of mastitis, no blebs, and no real pain. After the event, the baby returns
to the breast for the next feed, and the MER and the feed is normal. She
says it's not an issue of stress or emotional upheaval, everything is normal and
fine at home. She's happy other than this odd situation. She's able to feed
without problems most times, and has done so at public places like the zoo,
when her other little ones are being kids, etc. This is happening at home, but
at different times of the day, and even when she's in a comfy chair, dark
room, totally relaxed. She's tried music, massage, showers, deep breathing,
all the tricks. But it happened twice yesterday, so now she's getting a little
more concerned. She's thinks that there might be dietary reason, but I
couldn't think of any. She's well nourished and hydrated. She's being checked
for thyroid levels tomorrow. Since it's not a chronic problem (at least not
yet), I'm leary of going down the intranasal oxytocin by a compounding
pharmacy route, but might this be a time to use it? The only thing others
have been able to suggest is to try to relax -- they say she's stressed, but
she's convinced that's not it. In speaking with her, I don't think it is. But I
don't have any other ideas, either. I'd appreciate any ideas you all might
have.
Thanks,
Barbara Ash, IBCLC
Burke, VA
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