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From:
Kathy Leeper <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 28 Oct 2017 18:30:55 +0000
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Yes, the mini pill could absolutely do this.


Mom not only needs to stop it ASAP, but start pumping several times a day after feedings to boost production.  I would also see if baby would allow her to use a feeding tube at the breast to increase flow/help him stay motivated to nurse longer.


If she does get her supply back after stopping (may take a week or two of work) you or she really must report to the FDA so they can start compiling these cases and get the word out.


https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home

MedWatch Voluntary Report - Food and Drug Administration<https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home>
www.accessdata.fda.gov
What to Report to FDA MedWatch: Use the MedWatch form to report adverse events that you observe or suspect for human medical products, including serious drug side ...





Kathy Leeper, MD, FAAP, IBCLC, FABM
Breastfeeding Medicine Specialist - Leawood, KS

MilkWorks breastfeeding center - www.milkworks.org<http://www.milkworks.org/> - Lincoln, NE
Milk Mob Board Member/Trainer – www.themilkmob.org<http://www.milkmob.org/>
Board Member/Chair of Education Committee - Academy of Breastfeeding Medicine - www.bfmed.org<http://www.bfmed.org/>

Creating a healthier community by helping mothers breastfeed their babies....

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From: Lactation Information and Discussion <[log in to unmask]> on behalf of LACTNET automatic digest system <[log in to unmask]>
Sent: Friday, October 27, 2017 11:00 PM
To: [log in to unmask]
Subject: LACTNET Digest - 26 Oct 2017 to 27 Oct 2017 (#2017-64)

There are 2 messages totaling 111 lines in this issue.

Topics of the day:

  1. Slow weight gain/mini pill
  2. Time article

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Date:    Fri, 27 Oct 2017 04:24:48 +0000
From:    "Shamblin, Tricia" <[log in to unmask]>
Subject: Slow weight gain/mini pill

I have a difficult case and need your assistance. Mother is first time mother. Nursing was going well for the first 6 weeks. The baby boy gained from 7# 12 oz to 12 lb, and 2 oz. The mother nurses on demand and is at home with the baby. Infrequent pacifier use. Occasional bottles of breast milk started after 4 weeks. No formula. Then in the next 2 weeks (at 2 month checkup) the baby lost weight, 5 ounces. The mother started the progesterone mini-pill at 6 weeks. Infant seems to fight at the breast during feeds now. Pre and post feed weight showed 2 oz milk transfer and then baby would not go back to breast, this seems low to me. This baby seems calm and alert. Father is also very tall and thin. This baby is 80th percentile for height, started at 40th percentile for weight and 5th percentile now for weight. I recommended feeding the baby more, but the mother says the baby rarely cues to feed. She needs to encourage the baby to the breast. She thinks the most she can get him to eat is maybe 10 times per day, he usually nurses 7 to 8 times. The baby is doing well developmentally, he is already rolling over now at 3 months. From 2 to 3 months weight increased 5 ounces. Still really not good. I suggested she consider trying to switch to non-hormonal birth control to see if there is any improvement. Also some increased feeding and pumping. She has tried some bottles of formula since the diagnosis of slow weight gain and he does not seem any more enthusiastic about the bottles than the breast. He seems like a baby that is happy to starve. Any thoughts? Could it be the progesterone-only pill? It's odd that there is such a dramatic difference starting at 6 weeks. The grandmother reports that the same thing happened with the father as an infant and he was put on rice cereal (the cure for everything back then). Thanks for your help.

Tricia Shamblin, RN, IBCLC

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------------------------------

Date:    Fri, 27 Oct 2017 08:15:41 -0400
From:    Barbara Robertson <[log in to unmask]>
Subject: Time article

Dear Friends,
This kind of article pains me. This was my response on Facebook:
"Whew! This is quite a read with many good points. I think what is
missing from all of these conversations is that mothers who have well
trained midwives, OBs, doulas, IBCLCs for the birth and for the first 3
months, are going to have a much greater chance of achieving their
goals. These mothers want to breastfeed! In my opinion, this is the
issue. We say we value healthy, non-medicated birth and breastfeeding
but where is the support and training? This is what is missing! Not
medications and formula! We have lost the art of birthing and
breastfeeding. There are still some of us out there who have all the
medical knowledge we need to avoid bad outcomes AND have the skills to
provide the social emotional support these mothers desperately need.
Yes, you need to be able to recognize when a mother might need an
intervention such as a c-section or formula! Sadly, this lack of
training leads to a default of intervention because people don't know
how to recognize real problems. Sorry for the rant. I teach around the
country and am shocked at what people do not know about lactation
support. I still feel formula companies are behind this back lash
against Baby Friendly Hospitals and Fed is Best. Call me paranoid. Also,
anyone who thinks Courtney Jung's work is worth talking about knows
nothing about science."
I would love some kind of formal response from our profession. The
Academy of Breastfeeding Medicine sometimes will respond but usually it
is a person not the organization. Where is a response from IBLCE? ILCA?
USLCA?
I feel I have no one to officially defend breastfeeding and my professional.
Thank you,

--

Barbara Robertson, MA, IBCLC, RLC
The Breastfeeding Center of Ann Arbor
bfcaa.com


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