Hi Stephanie,

It's virtually always multifactorial, isn't it? So I agree with you that the sub-optimal breastfeeding in the early days was likely the major impact. I looked at some pictures of gross anatomy of the brain and location of pituitary gland in relation to cerebellum; it doesn't appear to be so near as to be affected by that surgery, but who knows the way the surgical site was accessed? By any chance was this infant also less than full-term?

I will also respond to your vent re why are moms told that what they can pump is going to tell them how much milk they are making? We all know that milk expression is affected by type of pump, fit of flange, letdowns, etc. So very often a mother with full breasts comes in saying she can only pump one ounce total, and we can see there are several more ounces engorged in there. I will concede though, that in later days of lactation, for example, possibly your mom with a 9 day old infant -- the pumping could help us assess her production. If she is expressing regularly with an effective pump, and is getting 1 oz total every 3 hrs (for example), that is a pretty good sign of a low milk production, quite insufficient for her 9 day old infant. Best regards,

Laurie Wheeler RN MN IBCLC



Laurie Wheeler | RN | Nursing | BMH-UNION COUNTY
Phone: (662) 538-2395 | [log in to unmask]
Opinions expressed above are not necessarily those of Baptist.



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