I think you can finesse it without being discouraging.  It is something
that may or may not happen.  But I think it is very important for moms to
have information, and to be empowered by that.

I would probably just follow up with her anyway, even if that is not what
you usually do, at least by phone.  I had a mom with a very similar birth,
and she struggled and struggled for a long time with milk production.  If
she had known that could have caused her milk production to lag, she could
have been more proactive earlier and taken appropriate steps sooner and
maybe things would have been different.  But she didn't know, and so her
iron was very low.  I am sure if I asked her now, do you wish someone would
have told you this was a possibility right away, her answer would be a
resounding yes.  So, I would provide her with information, education, what
to watch for, and where to get help if she has problems.  Good luck!

Sonya Shaver, BS, CHES, IBCLC


On Wed, Nov 9, 2011 at 10:49 AM, Riva Weissfish <[log in to unmask]> wrote:

> We had a case today in the hospital and I was wondering what others might
> do. First birth with "very heavy bleeding " after  birth, according to the
> report that the nurses gave me.  What I wanted to know is: being that she
> will probably be going home not much after 48 hours and we have no follow
> up contact, would you mention to her ( among the other guidance given) that
> a major blood loss MIGHT  have an effect  on  her milk supply and if that
> she does not see an adequate increase by the end of  the first week  she
> might  want  to discuss treatment with domperidone with her HCP and/or be
> on top of her need for iron.
> Others felt that since we don't know that that will happen there is no
> need to mention it as  it is not relevant and might be discouraging.
> Thanks, as always, for sharing your perspective,
> Riva Weissfish BA, CCE, IBCLC
>
>             ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>

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

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome