Jennifer,

This sounds like a case of insufficent glandular tissue (it reminds me a lot
of a mom I had over a year ago).  No breast changes in pregnancy and no
engorgement (or at least feeling really full if not uncomfortable).  I doubt
it is a diet issue (my mom wasn't vegetarian - but have had vegetarian &
vegan moms with no breast feeding issues).  There may be small amount of
milk, but not enough for actual growth.  In my mom's case the baby was
having wet diapers (dark urine) and some stools and she could express some
milk, but by a week of age the baby was starting to sleep excessively.

Giving the mom all of the options for increasing milk and pumping will make
the most of what their is, but supplementing may always be necessary (my mom
is currently still nursing with an SNS) and was concerned a while back
because he would only latch for his nursing before bed without the SNS.

Felicia Henry, BCCE & IBCLC

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