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milk supply question

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Hello Women,I saw a mom today with a 4 day old baby. She is 43 years old, this is her first baby and he was conceived naturally.She is fairly thin, gained about 35-ish pounds during pregnancy.She did say that her breasts changed somewhat. She mainly wears sporty type bras - not sized the traditional way.Her baby has a posterior tongue-tie and has really damaged her nipples.She sent him to the nursery a few times to rest. She rented a Hygeia pump yesterday and pumped twice between then and when I saw her this afternoon.She pumped a bit of blood tinged colostrum - about 6 or 7 mls. I had her pump today while I was there - the baby took in zero!Very little was coming out so we stopped after a couple of minutes and I massaged her breasts. They felt so limp - like nothing. They we a good size - at least a C cup but they were so flaccid. I have been doing this a long time but I feel green about this one. Could breasts be hypoplastic on a thin woman with a good amount of breast tissue? How can I be sure that it isn't retained placenta? And, of course, there is the obvious - not much stimulation but typically there is some fullness by this point in my experience. Any feedback is greatly appreciated.

Leigh Anne O'Connor, IBCLCleighanne625@...www.leighanneoconnor.comwww.mamamilkandme.wordpress.com(917) 596-3646

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