A 28-year-old first-time mother is seen for the evaluation of low milk supply. The mother was healthy prior to pregnancy and had no pregnancy complications and an unremarkable labor and delivery. The baby had gained weight well until the last 2 weeks when the mother noticed fewer wet diapers and a decrease in the volume of milk she was able to pump. She was taking no new medications and her recent thyroid test was normal. The mother's breast examination was normal. Pre- and post-feeding weights showed low transfer of milk with no nipple trauma and the baby had a coordinated suck and correct latch. Her Edinburgh Postnatal Depression Scale screening test result was positive and she was referred to the practice's postpartum depression program. A total of 30 minutes of face-to-face time was spent with the mother, with 20 minutes spent discussing what antidepressants were compatible with breastfeeding, the effect...

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