Today a 24-hr postpartum patient told me that she had been treated with
Parlodel (bromocriptine) up until 1 week ago for prolactinoma.  Today we
could not express a drop of colostrum.  In addition, her baby could not
latch onto her flat and retracting nipples.  I initiated a pumping regimen
of 15 mins q 3 hrs and recommended she follow up with an IBCLC after
discharge.  Meanwhile, she's feeding formula.  Anyone know if she is likely
to have delayed or inadequate milk production due to the Parlodel and/or
the prolactinoma?
-Barbara Crotty, RN, ICCE, IBCLC

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