Does anyone have any other suggestions for a Mom I have been working with
with very painful letdowns(MER) and an enormous milk supply. The baby is 1
month old and has been nursing well since birth. Mom describes her MER and
uterine contracrtions as extremely painful right after the birth. (This was
her second pregnancy.)She could barely stand to nurse unless she had pain
medication first.

She describes her pain as shooting into her shoulders and back. There is no
signs or symptoms of yeast in her or the baby. Her baby does cough and
sputter, with some spitting up, but usually handles the feeding fairly
well. She has done all the positioning for overactive letdown, which helps
the baby but doesn't releive her extreme pain. She wears cabbage much of
the day and night, but it helps only for the time is has it on, uses ice
packs frequently, but when she takes it off the fullness and tightness
return. She pumps briefly a few times a day when she can't tolerate the
discomfort and can easily get 20 ounces a pumping. She recently started
taking parsley but has seen no difference.

She has an unremarkable medical and hormonal history, not on birth control
pills or any other medications. She was very full when she nursed her first
baby who is age 2 but not this severe. Any suggestions?

Dianne RN IBCLC from rainy, hot and humid Florida.

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