I have a client who had breast augmentation in 2001 with incisions under her arms. She said her breasts were a B-cup size and she was “not in proportion” as the reason for the cosmetic surgery. During a medical history, she reported she had previous “mini strokes” at age 21 while on hormonal birth control. Genetic testing revealed a clotting disorder and several mutant genes. Lovenox was prescribed for the clotting disorder.
The mother stated the reason for the consultation as “low milk supply – cannot pump much milk.” Her baby was 2 oz. below birth weight at 15 days of age. A weight check after breastfeeding from both breasts indicated an intake of approximately 2 oz (58 cc). Pumping after breastfeeding yielded another 1 oz (28 cc). The mother has added pumping with the hospital-grade pump but still does not have a full milk supply. The baby is gaining weight and is more content now with supplementation of expressed breast milk and formula.
Do you think the clotting disorder could be related to her low milk production?
Deborah Ehrhardt, BA, IBCLC