When this is related to poor circulation to extremities, should we check for maternal anaemia, especially if there a history of blood loss at birth? Mothers are no longer transfused as they once were, and it can take time to bring up blood volumes and improved circulation… What’s her diet like? Exercise? Circulation generally?   Vasospasm can of course be psychosomatically triggered, and so the expectation might need to change as well. Alcohol is a smooth muscle relaxant that has its uses as well a  risks...Just a thought or two.. 
> 
> Date:    Tue, 22 Sep 2015 13:45:02 -0400
> From:    Barbara Robertson <[log in to unmask]>
> Subject: Help with vasospasms
> 
> Dear Friends,
> I have a client that is suffering from vasospasms. We are using warmth 
> after feedings, wool nursing pads between feedings, increased magnesium, 
> calcium, B 6, to help with circulation, better latch (baby has had tons 
> of body work), laid back position, and Nefedipine. All have helped, non 
> have resolved. The baby is 12 weeks old now.
> Any out of the box ideas are welcome. Any obvious ideas I have missed?
> The mother is going to go have a tongue tie eval done to see if the bit 
> of restriction that is there might be able to be released.
> Thank you in advance.
> 
> -- 
> 
> Barbara Robertson, MA, IBCLC, RLC
> The Breastfeeding Center of Ann Arbor
> bfcaa.com

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