My sister has just had a baby yesterday. Apparently her doctor has told her that her high pre-pregnancy prolactin levels could mean that she has problems with supply and her milk may never come in. I can't find anything on google or pubmed about this. Could he just mean that her pituitary might be buggered in some general way, or is there some recognised issue?
The delivery was quite quick, drug free, vaginal. The baby is tiny, not quite six pounds, he's already had some formula (because of his size, I think, I didn't ask why they didn't get colostrum from her for him), and spent the night in the nursery because she'd lost a lot of blood. She says he's latching painlessly but is very sleepy. She has four days in the hospital to get BFing established. They're having lots of cuddle time, but I forgot to mention skin to skin for helping the hormones. She has colostrum.
I told her to pump after feeding as often as she can, or to hand express if the pump's not getting much, to feed him as often as she can, and to talk to her doc about domperidone if she gets to ten days and still no milk. If they're having issues at day 4 I'll get her to take a hospital grade pump home with her. I forgot to tell her to get them to supplement with a dripper or cup rather than a bottle, but I'll tell her tomorrow.
I also tried to emphasise that both I and our other sister brought our milk in with pumps because of non-latching babies and had excellent supplies, but the voice of doom from her doctor has her half convinced she'll never get any milk.