>Date: Sat,  4 Mar 95 18:42:28 EST
>To: [log in to unmask]
>Cc: [log in to unmask]
>Message-Id: <[log in to unmask]>
>Subject: oversupply
>
>
>
>Re: oversupply.  Has this mother been checked for a prolactinoma?=
 Benign tumor
>of the pituitary. As the name implies, one result is oversupply=
 of prolactin
>which =3D oversupply/copious of breastmilk!

This is the first time I've ever hearfd of possible rebound after=
 using
cabbage. I am wondering if she had used it longer would she have=
 had
similar effect?

Has she tried posturing the baby differently?  I have mom sit baby=
 up
facing her while mom leans back slightly, as in a lounge chair, but=
 not to
point of being prone.  Excess milk slips out baby's mouth and is=
 less
liekly to cause choking, difficulty, etc.

Nursing one-sided usually is fine for these babies. As you noted,=
 growth is
not a problem. However, gassiness may be from excess lactose (lots=
 of
foremilk and less of hindmilk). What did milk look like that she=
 pumped?

By the way, one treatment used for women with Prolactinoma is
bromocriptine, which reduces milk production enough to make them
comfortable.  Any chance she could get some? Remember, Parolodel=81=
 is now no
longer recommended for pp women for lactation suppression.  She would=
 have
to get it on prescription and be watched carefully due to nasty side
effects, which include stroke, psychosis, etc. One woman in Michigan=
 had a
cardiac arrest after taking it to dry up.  I am wondering, however,=
 if a
low dose might help her? It might be worth discussing with her physician.
Check Riordan and Auerbach (I think in the Maternal Health or Maternal
ILlness chapter; can't remember). Prolactinomas and therapy for same=
 is
discussed there.


         %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
         %%  Kathleen G. Auerbach, PhD, IBCLC    %% =20
         %%        Lactation Services            %% =20
         %%        Homewood, Illinois            %%
         %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%