Renee,  You wrote about a mom who is pregnant and still trying to breastfeed 
her 9 mos old.  According to Sheila Humphrey's book and other herbal sources I 
have, fenugreek is contraindicated during pregnancy because it has 
oxytocin-like effects and may stimulate uterine contractions.  This caution especially 
refers to fenugreek use in late pregnancy, the last trimester, and yes, there 
is conflicting information about its use during pregnancy.

She has seen a product that contains  raspberry leaf, nettle leaf, and 
alfalfa leaf that is supposed to increase milk  supply while being safe during pg.   
These herbs are fine and the main consideration here would be quality and 
purity of the herbs, as well as any allergies she may have.  The following 
websites can offer her choices (she should also let her OB know she has chosen to 
take these herbs):  motherlove.com , has the combo of herbs this mom discussed 
with you,  birthandbreastfeeding.com (Mechell Turner's website, also has 
homeopathy) and kellymom.com has a whole section on herbs.  Mom can also use foods 
like oats, oatstraw teas, to increase her supply; I suggest Mother Food for 
Breastfeeding Mothers an excellent book by Hiliary Jacobson.  I also second 
Karleen's suggestion of donor milk until her own supply goes back up.

Best of luck to this mom and do let her know many mothers have been in her 
situation and done just fine without supplementation of formula.  

Barbara Latterner, BSN, RN, IBCLC, RLC



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