>I've been speaking with a mom who had a reduction. She is having great
>success with her milk supply while taking Domperidone, (which she
>ordered from Mexico). She had a curious question which I was unable to
>answer. Since we know that prolactin levels decrease after so many weeks
>post-partum, what is it that keeps the milk supply up?

Autocrine control - the rate of synthesis of breastmilk is directly related
to the degree of breast emptiness (works via an inhibitor peptide in the
milk itself). See Peter Hartmann's papers or search the Lactnet archives
for lots of posts about this. I suspect the Domperidone is really just
useful to 'kick start' the supply, and it would need good drainage to
maintain it.

>
>Also, we advise women that per alchoholic drink, to wait 2 hours before
>nursing. Also, that they don't have to "pump and dump" since the
>alchohol dissipates. If mom was to pump and wait a sprcified amount of
>time before using that milk, would it be safe to use for the baby?

I would guess that the alcohol would be much slower to 'dissipate' from the
EBM (but really don't know!), as the reason the milk in the breast loses
the alcohol is because it moves back into the bloodsteam - there is a
dynamic equilibrium between blood and milk, with the blood alcohol level
equalling the milk alcohol level at any one point in time. As it is a
fat-soluble compound it moves very quickly across membranes.

******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia.   mailto:[log in to unmask]
******************************************************************

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