I have permission from this mother to post. She delivered a 24 week premie 
almost 3 months ago due to pregnancy induced hypertension. She was on Labetelol 
until about 6 weeks ago. She has maintained an adequate milk supply through 
pumping until about a month ago when she started on a birth control pill. We 
talked about this when she came to me because her milk supply had started to 
drop. She stopped the pill about 3 weeks ago but her milk supply did not return to 
pre pill levels. Last week, she was feeling "funny" and had her blood 
pressure taken. It was dangerously high which landed her in the ER and her doctor 
started her back on Labetelol. Within 2 days, her milk supply went  from about 
15ml/pumping to at least 90 ml/pumping. She asked me if I had ever heard of this 
happening. I told her I had not but, with her permission, I would post and 
see if anyone else has experienced this in their practice. 

Thanks,
Chris Smith, RN, IBCLC, RLC

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