Does PCOS worsen with each pregnancy? I am working with a Mom who gave birth to 34 week twins. She really wants to breastfeed them and get a full milk supply so they won't need formula. About 6-8 hours after she delivered the twins she had already tried to nurse them than I set her up with the Symphony breast pump. She obtained about 5cc that first expressing. I noticed that her nipples were much bigger than the flanges so changed the flange size for future pumping. She pumped every 3 hours for 10-15 minutes and also tried to nurse the babies. I did not see her for a couple of days. When I did see her next she was over 72 hours postpartum and her breast were very soft and since the first pumping she was getting nothing. She could hand express and get a few mls. I checked her pump out and observed her pumping. I even had her go back to the smaller flanges. The only way she got anything with the pump was when she used breast compression. But this amounted to only a drop. She than hand expressed and even got a couple of sprays but that quickly subsided. She told me that she has a 16 year old child that she had no problems conceiving and breastfeeding. I did not ask her when she was diagnosed with PCOS but she told me that was why she has an infertility problem. She tried for the next 7 years to get pregnant and finally had a set of twins with IVF. These babies were closer to full term and she breastfeed them until they were diagnosed with Reflux than she partially weaned, they had many problems and she did increase her supply for them. A couple years later she had another set of twins with IVF but lost them very prematurely. The current babies were through IVF also. Her delivery was a c-section so I would assume that there would have been comments made regarding the delivery of her placenta. She is having minimal vaginal bleeding. We are both baffled at the lack of milk production. I can feel very little changes in her breast. The plan I set up for her was to continue the pumping and hand expressing every 3 hours. I gave her a small nipple shield and set up a lactation aid with a french feeding tube in a bottle. I asked her to request a full thyroid panel from her OB provider to rule out a low thyroid. What am I missing here? Does PCOS worsen over time or with subsequent pregnancies? Any help appreciated. Will see this Mom tomorrow. Thanks, Ann Perry, RN IBCLC Boston, MA ************************************** See what's free at http://www.aol.com. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]