Hi gurus: I'm working with the mother of a 7 week old baby. This is her 3rd child - the first two were exclusively formula-fed by the end of the first week of each of their lives as a result of "not enough milk." This mother is extrememly committed w/this lactation experience, and despite pumping with a good pump every 2 1/2 hours bilaterally for 15 minutes after having the baby at breast until self detachment, and then supplementing the baby with the pumped milk (yes...with a bottle...but she has 2 toddlers plus this baby and has to pump)..her baby is almost (and some days not even) gaining 1/2 ounce/day. He did not regain birthweight until 3 weeks. Now, following a case of mastitis one week ago, her supply has dropped to 50% of the baby's needs. She has a test weigh scale at home and is doing pre feed weight and post feeds: he takes anywhere from 1-1.5 ounces from the breast, and then she pumps an additional 1 ounce in 15 minutes. He is needing some formula to gain adequate weight. There is no history of breast surgery, injury, no known endocrine problems, no birth control pills, mom has been bleeding for 7 weeks and is going for a possible ultrasound this week to rule out retained placental fragment (she at least has an app't w/her ob to evaluate her bleeding); she's been on blessed thistle and fenugreek 2 caps of each 4x daily since week 2: she's exhausted (and I nearly am too) but wants to continue. If there is no retained placental fragment, and probably, there is not.......is 7 weeks out too late to try reglan? at what dose? for how long? and when would she see results? I just want to arm her w/this ammunition (and any suggestions for articles I could give her to take to her ob documenting efficacy and safety of Reglan, too) I would be forever grateful. thanks!!!! janna zempsky in w.htfd CT where it is almost "peak" *********************************************** 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