I would occasionally use oxytocin nasal spray many years ago, by having the pharmacist put Pitocin into a nose dropper bottle and advising the mother to use 1-2 drops to induce a letdown.

However, I found that it induced tachyphylaxis after just a few doses, which means that the mothers had the risk of inability letting down without the medication, after just a few doses.

Therefore, I now approach letdown issues differently, by managing the anxiety that is most often the cause of the difficulty letting down.

In addition, I find that low thyroid function causes a delayed or difficulty letting down.



Anne





Anne Eglash MD, IBCLC, FABM

Clinical Professor, Department of Family and Community Medicine

University of Wisconsin School of Medicine and Public Health

Medical Director, UW Lactation Services

Medical Director, Mothers Milk Bank of the Western Great Lakes

Founder and President of The Milk Mob, dedicated to building Breastfeeding Knowledgeable Medical Systems and Communities http://www.themilkmob.org















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