-- [ From: Nancy Coulter * EMC.Ver #2.10P ] --

Can any one help with this?  I received a request for information about
breastfeeding chances for a mother with hyperprolactinemia.  The woman
is 30 weeks gestation and had a prolactin level of 47 at 26 weeks, 103
at 30 weeks (which don't sound out of line to me).  The obstetrician is
questioning whether or not she will be able to breastfeed. I don't know
the cause of the patient's hyperprolactinemia  but I will try to find
out.  The obstetrician did say that the patient was off bromocriptin
which was used for infertility due to the hyperprolactinemia.  I read
the section in Lawrence about hyperprolactinemia but it was not clear
to me.  Lawrence says "If a woman has acheived pregnancy with
hyperprolactinemia, postpartum lactation is possible."  Is this even
with Bromocriptine treatment?  How probable?  What complications?  Have
any of you had any experience with this or have any information I can
give the obstetrician about breastfeeding?

Thanks in advance,

Nancy Coulter, RN, MSN, CLC
Granada Hills, CA 91344