Ellen

Great history!  But rather than suspecting 
progesterone given during pregnancy as a cause of 
low milk production (the last dose would have 
been taken at least 3 weeks ago, and in the 
normal course of events the sharp drop in 
progesterone occuring with delivery of the 
placenta allows Lactogenesis II to happen in the 
following 36-72 hours) I'd be considering 
retained placental fragments.  Does mom have 
heavy bleeding, clots, bright red discharge, any 
other symptoms?  Or any injectable contraceptives 
(though it sounds preposterous, this is not 
completely unknown ...) Could mom's _current_ 
progesterone levels be tested?  And how are her thyroid levels?

Pamela Morrison IBCLC
Rustington, England
----------------------------

I would really appreciate any thoughts on 
strategies to help this Mom’s milk 
supply.  I’ve been in touch with Mom via email 
and phone as a LLL Leader.   I’ve wondered if 
the progesterone to stop preterm labor 
administered through 35 weeks could have delayed 
her milk supply increasing.  Mom was induced at 36 weeks.   Permission to post.

Thanks!

Ellen Rubin, MA, IBCLC, LLLL

This was the story yesterday........

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