I have had several moms that are prescribed the "mini pill" that have had a sharp decrease in their milk supply.  One went from producing 6 oz per pumping at 6 weeks post partum down to  2 oz within two days and she was nursing / pumping every 2 hours each day.  I advised her to stop taking it (if her doctor agreed)  to see how fast her supply came back up.  I told her to continue to feed/pump every 2 hours as per usual. Do nothing else different. Her supply came  up to 4 oz per pumping the next next day, and up to the 6 oz per pumping session in two days!   The dose she was taking was .35mg of Norethindrone.  I looked it up in Hale's book and it does say that at lower doses the decrease was not as significant as at the higher doses.  (pp662-663 Hale 2006 12th Edition)  Mom did decide on her own to discontinue the pill and use other methods for now.  
 
There is an OB/GYN at the hospital where I visit clients that has the Depo shot ready for them as part of their discharge process!  It has prevented so many from producing a supply that I encounter.  How can I talk to this Doctor about what he is doing. I know he is more concerned about mom getting pregnant again right away.       Have a blessed day, Merideth Buell, CLC, BE, BFPCDept. State Health Services, [log in to unmask] 
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