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Re: Insufficient Lactation?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 12 Feb 2000 16:54:18 -0600 (CST)


At Sat, 12 Feb 2000, Erin wrote: >
>I have a friend who delivered her second daughter on January 2nd and is
>having problems with insufficient milk supply. ...She has to feed her daughter at least 5
>oz of formula after breastfeeding her for a full hour, simply because
>she's just not making enough milk. ....The baby also had
>lung problems and she was forced to use a breast pump the first week to
>give the baby the milk through a feeding tube and then through bottles.
....>Is there any kind of hormone suppliment (synthetic prolactin)? or >vitamin supplement, herbal remedy, or anything of the sort to aid milk
>production?

Nasal spray oxytocin can help with let down and meclopromide (Reglan, a medication used to treat ulcers and GI problems) may increase production. Milk thistle may help as well -- there are "lactation" teas available in health food stores.

She really wants to be able to breastfeed her daughter >because of the health and bonding benefits, and because formula is
>expensive and they're raising two infants on a tight budget.

She is to be commended for wanting to brestfeed -- it is wonderful for both her and the baby. In addition to extre fluids, EXTRA REST is important -- she needs help to take care of 2 kids and the house, etc. Also, pumping may help stimulate her milk supply -- she should use a good electric pump (hospital grade, either a rental or something like Medela's Pump in Style or LActina)

I hope she is able to increase her supply enough to breastfeed exclusively -- if not, whatever she can do is great and she should not feel guilty just because she has to supplement.

--
M. Kelly Shanahan, MD, FACOG

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

PRIVATE E-MAILS WILL NOT BE ANSWERED! My daughter deserves some of my very limited free time!




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