Blood Tests

[ColwynsMommy]

I'm going to call my OBGYN today to see if she'll order some blood tests for me. It's not a sure thing, as I switched to a homebirth midwife and haven't seen her since I was 20 weeks pregnant (and I'm now 3 weeks postpartum). But this is my third baby, and with all three I've had pretty much no milk right from the start. I've never been diagnosed with PCOS, but it's a definite possibility. I'd also like to check hormone levels and everything.

Can someone tell me which specific tests to ask for? I know from prior experience that they won't think to order tests that I don't specifically ask for.. at least when it comes to supply issues.

Thanks!

[RootSnort]

Rather than trying to look at small parts of this large puzzle, have you considered seeing a lactation consultant to evaluate everything including baby's mouth, breast size and shape, and latch? They would also know the tests to recommend. All I can think of off hand is progesterone and prolactin.

[ColwynsMommy]

Yes, I've looked at the big picture, including having seen LCs. I've dealt with this three times, gone through the wringer, and only have small pieces of the puzzle left.

[justthinkn]

My understanding is that prolactin tests are really hard to do well and read well in nursing mothers, b/c the timing in relation to nursing matters, and the person interpreting the results needs to know what is "normal" for nursing mothers.

Just to throw that out there!