> We are looking for information re a situation we are currently facing,
  >   We have a patient that is 4 days postpartum, and has increased facial
    > hair and noticable male characteristics`- there does not appear to
    > have been any increase in breast size during pregnancy, and currently
    > even with pumping we are unable to get more than 2cc's expresses milk
     -
   >  baby has been to breast at least q3h in addition to the pumping - the
    > baby has lost approx 13% of his birth weight?

     >Has anyone any suggestions for us?

Is this mom a primip -- i.e. has she breastfed before?  Was she an
infertility patient?  We often find that women who have difficulty
conceiving, may have difficulty lactating.

I'm assuming you've found no problems with latch-on, suck, infant oral
anatomy, etc.

 Check out hormone levels.

In the meantime, put baby at breast with a supplemental device, continue
with pumping, and give mom a diet to increase milk production.

Please keep us updated with this interesting case.

Donna Zitzelberger RN, BSN, IBCLC