I have a question for the experimenters and experts out there. Has
anyone ever used a dose of RU 486 to inhibit progesterone and increase
milk supply? I found a reference to its use as a labor inducer showing
that babies had higher growth rates due to increased milk supply. I
would love to see this tried if it hasn't been already. Dr. Hale
mentioned this at one of his conferences as theoretically possible.
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Rod & Joy Kahler
Sent: Wednesday, January 30, 2008 10:11 PM
Subject: Re: Care plan after long-term low supply due to infrequent
removal
I'm obviously not the "one with more experience" for sure, but what I'm
trying to do is grasp the depth of your question.
Are you asking what underlying issues would inhibit copious milk
production during LII and/or LIII in a mother who truly DID practice
"early & often"?
Or was it simply or rhetorical question?
Because from my understanding, only in the early hours and weeks will
those receptor sites be "open" to receiving prolactin...otherwise they
fill up with progesterone. Once they are filled with
progesterone...you're kind of S.O.L, I think we all know what that
means,...and from then on you will only struggle with ascertaining a
bountiful supply....I suppose it's like the proverbial window of
opportunity...
Now, from a different perspective, is there something to this theory
that I have missed or do not understand? Are you suggesting that MORE
prolactin receptors become available at another time? Or more
lactocytes?
There again, I would look to those with more experience as well to
understand WHY a woman who is telling you that she DID in fact practice
early & often and is having (especially w/ a 2nd baby) inadequate supply
issues. BTW how often is there a need for an IBCLC to refer to an
Endocrinologist? Just out of curiosity....I understand that low milk
supply is the #1 reason for bf cessation...kind of makes you wonder what
truly happened @ the hospital & in the early days....
I guess for my own personal gain, I would like to understand your
question further, if you would, thanks! I'm always intrigued at the
technical discussions on this site...
Joy Kahler
LLL of Wyoming, USA
Lisa Mandell <[log in to unmask]> wrote:
I have a follow-up question to Liz's post on a realistic picture to
give moms with long-term low supply. I understand the prolactin receptor
theory, and have seen cases that fit it. But I worked with a mom
recently who had long-term low supply with her first despite her reports
of frequent nursing, early help from IBCLC's, and dedication from the
mother (she went on to nurse that child for several years). I'm working
with her now because she again has low supply with a new baby, again
despite frequent, effective nursing, pumping, galactagogues. This mother
reports that with her first, she focused first on eliminating pain from
thrush, and then, after about a month or so, started working more on
increasing supply. She saw her supply start to increase around 8 weeks,
and it continued to increase slowly, although she had to supplement
until a few months after her baby had started solids. Again with this
second baby she is noticing an increase in supply about two months out.
Further, another mom I worked with seems to be experiencing a similar
process.
My question: could it be that when the body is capable of making a
plentiful supply but there is inadequate removal, the prolactin receptor
theory explains the inability to later increase supply, but when there
is another issue limiting the mother's ability to make sufficient milk,
and there is good stimulation so as to lay down plenty of prolactin
receptor sites initially, it can then slowly build over time, especially
if a treatment resolves the issue limiting the supply?
I hope my question makes sense. I look forward to hearing from those
with more experience.
Lisa Mandell, MBA, IBCLC
Havertown, PA
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email:
set lactnet nomail 2. To start it again: set lactnet mail 3. To
unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules
and directions: get lactnet welcome
---------------------------------
Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try
it now.
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email:
set lactnet nomail 2. To start it again: set lactnet mail 3. To
unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules
and directions: get lactnet welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
