This is the first time I have posted so I will quickly introduce myself. I am an Australian LC and midwife currently on maternity leave having had my first baby a month ago. I am thoroughly enjoying motherhood, breastfeeding and the time I now have to keep up with Lactnet posts. I am seeking your collective wisdom in regard to a near desperate situation with a breastfeeding friend who seems to have tried it all for a low milk supply. Baby is 8 weeks old and current weight is 4170gms, birth weight was 3580gms. It took baby 4 weeks to get back to her birth weight. Baby has had normal growth in her length and head circumference. Baby is alert, has reasonable urine output and bowel motions. Mother currently breastfeeds every 2 hours during the day and every 3 - 4 hours over night. Baby feeds for 15 - 20 minutes on both breasts, and suck swallow ratios indicate let down takes place.(Mother also feels let downs). A pacifier and a baby sling has been used to give this family a break but perhaps to the detriment of mother's milk supply. Baby has received occasional formula supplement given via a supply line (nursing supplementer) when no weight was gained. Mother has also expressed post breastfeeds using an electric pump with duel collection units. Mother has had two episodes of sore nipples but baby appears to have a good latch. It is this mother's first baby and she had a normal birth, with complete placenta without drugs at term and breastfed straight after the birth. Mother has no medical illness and has not had any breast surgery. She did not increase her bra size throughout her pregnancy and there has not been much areola enlargement however she certainly experienced fullness when her milk came in. She is currently taking Domperidone 10mg x 2 three times a day, Fennelgreek 500mg x 2 three times a day and St. Mary's Thistle 70mg x 2 three times a day. Today she told me the baby has developed thrush around it's bottom which she is treating with an antifungal. She will also treat herself as a preventative measure. This family has just about had enough and I don't know what else to suggest. I am wondering whether baby has an underlying medical condition ( i.e. urinary tract infection) which is compounding the problem. I would be extremely grateful for any new ideas for this extremely motivated mother. Anne Bond, RN, RM, IBCLC Melbourne, Australia ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html