Hi Jaye,
I have seen a increase in tongue ties as well.  No joke.  Last one wasn't 
severe, but enough to keep bb from obtaining /sustaining a latch.. Thats 
enough for me.  If it interferes with bfing then something should be 
done...Thats what the peds say. I believe the ABFmed say something similar.  
So the only solution was a nipple shield, loads of colostrum lots of swallowing.  
Maybe frenulum will stretch.  I worked and worked with mom every time bb 
woke for a feed.  Could get a few sucks in but never stayed with it.  so 
sucumbed  to nasty nipple shield....She knows she needs to be followed.  info 
given about nipple shields etc.  
Back to bb number 3 i believe.  mom with no milk.. Had similiar story 6 months 
ago.  Asked OB to run prolactin. it was low.. tsh normal.  I Should have had 
him run testosterone and progesterone level.  One reason prolactin may be 
low for a one in a million would be pituatary tumor..Doctor aware.  If the 
corpus luetuem is still putting out progesterone/testosterone. (she may have 
an ovary with a cyst on it).  Hormones competeing with sites. Some women 
have residual cysts from ovulation or subclinical polycystic ovaries, which may 
indeed affect lactogenesis 11. If the progesterone never drops then lacto 11 
would definately be affected.  thats why I suggest to test for testosterone  
and progesterone levels. Those 4 test should be run.  Progesterone, 
testosterone, tsh, and of course prolactin.  I'm guessing the staff thought she 
would have bright red discharge and cramping if retained placenta.  I think it is 
always worth a look with ultrasound. Non-invasive procedure.  Most of the 
docs do too.  Does she have a fever, foul smelling discharge?  Heavy bleeding? 
I think that the office staff would be thinking she would have all the other 
signs as well.  I know from personal experience that is not always the case.  
But I'm that one in a million who doesn't have a fever with infection...yada, 
yada.  Thats all I can think of maybe more brilliant minds than mine can help 
you more with this one.  

Sorry...hope things turn around for her..
Best wishes,
robin

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