I have seen several moms with a normal baseline and no surge who make very little milk. I do not think I ever tried Domperidone in that situation, as I would not expect it to help.



Unfortunately,  there is A LOT we do not understand about human lactation. I once saw a woman with a prolactin level in the 20s at 2 weeks who had plenty of milk.



So I just explain to mom it looks like her body is not responding to suckling like it is supposed to, it is nothing she did or did not do,  and I would focus on getting the baby to use a supplementer at the breast for the long term.







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.milkmob.org<http://www.milkmob.org>

Board Member/Chair of Education Committee - Academy of Breastfeeding Medicine - www.bfmed.org<http://www.bfmed.org>





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