Teriann asks:
#1 At what point should we be concerned about blood loss during delivery
causing a problem with breastfeeding?  I keep seeing EBL 700 or 900 and
wonder when I should pay particular attention that other problems may be
brewing.

Those blood losses are both beyond normal for most women and I'd say she
does need watching.

The stress she endured during birthing could be sufficient to delay LII.
Anaemia will cause her to be fatigued which could cause her not to
breastfeed or respond to her baby as quickly as she would otherwise, and
well-meaning people could settle the baby (by rocking, etc) to allow her
more time to rest.
Baby may have received early supplementation because mother was initially
unwell, required surgery, etc.  All of this will impact on breastfeeding.
Fatigue and stress have been identified as being risk factors for mastitis.

This volume of blood loss is insufficient in most women to cause Sheehan's
Syndrome (thank goodness!!).  The degree of hemorrhage needed for this to
occur is highly variable and depends to some extent on how well the woman
was managed during the emergency.

Denise


***************************************
Denise Fisher
Health e-Learning
http://www.health-e-learning.com

****************************************

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html