I usually prescribe Oxytocin Nasal Spray, 40 units/ml, one spray each
nostril 2-3 minutes before feeding or pumping. disp 5cc. Has to be mixed
up by a compounding pharmacist, and in our area can cost
$50-60/bottle. This amount lasts a week or two, depending on how often
they're feeding/pumping. Have never had anyone need it longer than
that. Side effects are uterine cramping (like menstrual cramps). Do not
use if mom pregnant. It works by helping "condition" mom's own letdown
again. Have had a couple of moms tell me that after a few days, just
taking the bottle out of their purse/cabinet etc. made them have a letdown,
but they did associate it with picking up the baby also.
Becky Saenz, MD, IBCLC
At 10:39 AM 06/09/2000 -0400, you wrote:
>In New England area (New Hampshire), I seldom get a call for oxytocin
>spray. But recently I have a woman who had a previous baby whom she
>always had to supplement. Now she has a 4 wk old who was a 35 wk
>gestation and she is also supplementing. At my visit it seemed that this
>5# baby has a small mouth, does the best she can, but then gets a bottle
>of 1-2 oz formula after each feed, so she does not get better with bf
>because she always is supplemented.
> The mom feels she is sure her problem is no letdown. We discussed
> various techniques which could help such as relaxation (hard to do with a
> 12 month old to care for simultaneously), using fenugreek tea for a dual
> purpose of increasing milk and "having a cup-a" as a relaxation
> technique, and finally using the Lactina to increase supply (which is
> probably really low due to the present scenario of supplementing).
> She wants more info on oxytocin for her nurse practitioner who has
> never heard of such a thing...
>I will research archives too, of course. Michelle Scott, MA, RD, IBCLC
>
>
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