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Jamie Offline OP
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As I've said on threads before, I've been exclusively breastfeeding my adopted trioplets their whole lives. They are four months old now. FOr the past week, none of my children has been satisfied with my left breast. THey all cry and squirm as if nothing is coming out. I can now only feed one at a time, and if I don't use the right exclusively I have to switch them back and forth ten times or more during the feeding. I have no pain or blockage in the breast.

The only thing that is different is that I've been taking Zoloft for a week now. Can this affect supply? I looked online, but didn't find anything saying that Xoloft will do this. Any ideas? Suggestions? I've worked so hard, I can't stand to give up now!

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Jamie, I sent you a Private Message. In it I referred to the right breast I now realise it is the left you are talking about.
How are things going now? Do you have an LC that you can ask about the Zoloft?


Laurie~Craig's wife~Mom to 4 blessings nurtured at the breast CJ(24)Travis(21)Beka~adopted(9)Rab(6)
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Jamie I looked at Dr. Hales site for info on Zoloft. It is the recommended antidepressant for nursing Moms. there was no info on supply issues. I am sure if there were a problem with that he would have mentioned it and wouldn't be recommending it.


Laurie~Craig's wife~Mom to 4 blessings nurtured at the breast CJ(24)Travis(21)Beka~adopted(9)Rab(6)
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THanks! I have left a message with the LC who was at the hospital when my trio was born. I justrealized that I haven't taken any herbs in about three weeks. We ran out and with getting ready for the homestudy it slipped my mind, and having to pay the adoption agency, we can't afford it until next week anyway. COuld this have such a profound affect?

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I would think it could yes, Especially since you cut out all herbs. If you add back Fenugreek now at least it would be helpful.


Laurie~Craig's wife~Mom to 4 blessings nurtured at the breast CJ(24)Travis(21)Beka~adopted(9)Rab(6)
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Hi Jamie,

I have a concern about what is going on. It may be the herbs or it may not. Are the babies refusing to go to that breast at all or are they going and then coming off after a few minutes? What exactly is happening?

Regarding Zoloft, it's the antidepressant of choice for breastfeeding moms. Much better than Prozac or Paxil according to Dr. Hale.

Best,


Lenore Goldfarb, Ph.D.,CCC,IBCLC
Wife to Rob, Mom to Adam aged 13, and Ethan aged 9, both born via GS and breastfed via Regular Newman-Goldfarb Protocol.
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The babies latch onto the breast, but start fussing after a few seconds. I squeeze my nipple when this happnes and only a tiny bit oozes out. It has been better today. I was able to get through one whole feeding for one baby on that side, and have done partial feedings too, switching to the other side after a few minutes. It still isn't back 100%.

I dodged a bullet not taking the Provigil the doc gace me too! After finding out what it does to milk supply, I also read that it should not be given to people with heart conditions. i don't know why that slipped by him.

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Hi Jamie,

Expressing by squeezing the nipple is not effective. You have to squeeze from behind the nipple where the areola is. The nipple is just the exit.

Your babies are likely getting more milk from your breasts than you think. Babies are very efficient feeders. Your babies are four months old right? They may be experiencing a growth spurt that makes you feel like you have insufficient milk when in fact they are just temporarily more hungry.

As I mentioned on your other post, I've emailed Dr. Hale for his recommendation regarding a substitute for the Provigil.

Does caffeine help you? Did you know you can drink 2-3 cups of coffee or other caffeinated drinks per day while breastfeeding?

Best,


Lenore Goldfarb, Ph.D.,CCC,IBCLC
Wife to Rob, Mom to Adam aged 13, and Ethan aged 9, both born via GS and breastfed via Regular Newman-Goldfarb Protocol.
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I'm sorry, I should have said I squeeze my breast behind the nipple. I don't think I could ever squeeze the nipple directly! (Shudder!) I realize that this isn't a completely accurate way to tell how much I'm producing, but when my babies are pulling away every few seconds and fussing, the lack of milk when I squeeze seems to confirm that not much is coming out, especiallywhen I get sprays from doing the same thing on the other side.

I'm sure the two little ones, my identical guys, are going through a growth spurt. Dh is home today, and has supplemented a couple of times with a bottle. These two have almost literally done nothing but wat all day long.

I can still tell that there is less coming out of the left breast. I am wondering if there may be something hormonsal going on? My face has broken out a lot in the past couple of weeks, about the same length of time I've been having the milk issue. I haven't had acne since I was a teenager. I am seeing a gyn tomorrow, to talk about bc and I'll bring it up then. I haven't had a period since I began the ap, and I wondered if mycycle was getting ready to start again.

About caffeine-- it hasn't helped me in the past, but I could always try to drink more. I've been feeling sluggish today and fear I might have a flare coming on. (I so hope not!) I would still appreciate your letting me know when Dr. Hale gets back to you. Thanks! <img src="/ubbthreads/images/graemlins/smile.gif" alt="" />

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Hi Jamie,

It could be that your breast is suddenly not producing for some unknown reason which is quite odd or it could be something else.

Ok, I'm taking a deep breath before I tell you this information.

This is something you need to be aware of called "Goldsmith's Sign". This is when a baby suddenly refuses to nurse from one breast and can be an indication of something serious. By all means I don't mean to alarm anyone and I don't want to be the bearer of gloom and doom. This could all be for nothing but whenever a mother comes to our clinic with this indication we send her straight for a consultation with a breast specialist.

It is very difficult to do a mamogram on a lactating breast but we still need to have this investigated. Studies have shown that if this is a true "Goldsmith situation" the mother can be facing a diagnosis of breast cancer within 5 years. Often the baby is the first to know. Forgive me for being so blunt and so insistant but two of my girlfriends are alive today because I was blunt and insistent.

Please discuss this with your doctor as soon as possible. Believe me, nothing would make me happier than to be wrong about this. But if I said nothing, and something happened I would never be able to forgive myself. So there you have it.

Best,


Lenore Goldfarb, Ph.D.,CCC,IBCLC
Wife to Rob, Mom to Adam aged 13, and Ethan aged 9, both born via GS and breastfed via Regular Newman-Goldfarb Protocol.
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