Last update: Nov. 23, 2019
Not risky for breastfeeding or infant.
Disorder caused by sexual hormone dysfunction that can lead to problems like infertility, overweight, obesity, breast hypoplasia, gestacional induced diabetes and higher abortion risk (Biloš 2017, Goldenberg 2008).
Although it is controversial (Biloš 2017, Thatcher 2006, Marasco 2000), breastfeeding may be seriously affected (20% of failure after some authors) especially if mammary gland hypoplasia or absence of breast enlargement during pregnancy occurs (Biloš 2017, McGuire 2015, Vanky 2012, Marasco 2000). Obesity and gestacional Diabetes also may affect breastfeeding (Biloš 2017, Riddle 2016). One factor possibly implicated in the low milk supply observed is insulin resistance (Biloš 2017).
Both disease and medication used for treatment are compatible with breastfeeding (Lawrence 2013). Fighting overweight by means of a hypocaloric diet and physical exercise is most important to improve symptoms of disease.
Merformin helps to control Overweight and Diabetes and also ameliorate other symptoms of disease (Cicero 2012, Goldenberg 2008, Glueck 2007, Thatcher 2006) and it is compatible with breastfeeding (Glueck 2007 & 2006), but has not been shown to improve milk production.
An appropriate breastfeeding technique with frequent feedings, milk expression by the use of pump if required to increase stimulus beside with the use of galactogogues like Domperidone may enhance milk production. If necessary, supplementation with banked milk or artificial formula would be indicated.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
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