I'm way out of my depth here. But one thing I learned and remember at a
breastfeeding talk with Kay Hoover was that delayed milk production can be
caused by Polycystic Ovarian Syndrome. Also you didn't state which stage of
bleeding she's still experiencing (rubra, serosa?).
Just a thought.
Good luck,
Catherine (lllc leader, student nurse).
>From: Pamela Mazzella Di Bosco <[log in to unmask]>
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>To: [log in to unmask]
>Subject: low milk supply and estrogen levels
>Date: Fri, 21 Jul 2006 17:19:21 EDT
>
>I am working with a mom who is struggling to have a full supply of milk for
>her baby. She has done everything right. Great nursling, great pumping,
>and
>no breast issues. Everything but domperidone as she cannot get a doctor to
>prescribe for her. Her ob/gyn has ruled out anemia and thyroid issues. Or
>should I say blew off her concerns about them and told her there was none,
>but
>did not give her levels. I have asked her to call back and ask for the
>levels, not just 'you are fine'. Assuming there is no problems with
>either though
>as she has no history and no difficulty at all conceiving. She had a
>cesarean
> delivery, which I could consider reason for a delay for a week or so,
>but
>by now at 8 weeks she should have her supply full just from what she has
>been
>doing.
>
> The one thing she mentioned to me today that we did not think of before
>is
>she is still having postpartum bleeding. It is not heavy, but it is
>there.
>My question is what are the chances that her postpartum levels of estrogen
>are not low enough and that is contributing to the bleeding and the milk
>supply not being fully established. I googled for more information, and
>what I
>find is what we already know...high estrogen levels, low milk supply.
>What I
>am having a harder time finding out is if there is any correlation between
>high estrogen levels and lochia flow past six weeks. AND, if there is a
>correlation, can the assumption be made that when the lochia stops, the
>estrogen
>levels have finally leveled off and milk supply will increase? OR, is
>this just
>my wishful thinking....
>
>Anyone have any thoughts or better yet any research out there I can read
>more about this?
>
>Thanks a bunch,
>Pam MazzellaDiBoso, IBCLC, RLC
>
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