Hi all,
I've searched the archives for info on delayed let-down at night and get
plenty of hits re: delayed let-down, but nothing specifically addresses
delayed let-down only at night.  I am working with a mother (nurse
practitioner)who has given me permission to post.  Her baby is approx 3 1/2
months old and she has been noticing for the past week that at night her
let-downs are quite delayed (>10 minutes).  She states that she notices that
her baby doesn't seem to suck vigorously at those times, so that may have
something to do with it.  The other thing is that during these feedings with
the delayed let-down, she is experiencing a clammy feeling and light
sweating.  Not at other feedings at night though, only those with delayed
let-down.  This doesn't happen every night, but it has happened often enough
in the past 2 weeks to concern the mother.  Her baby is gaining weight and
nursing well during the day, do she isn't necessarily worried about that --
although she does worry that enough nights of delayed let-down may lower her
milk supply.  She states that the delayed let-down at night happened with
her last child at around 5-6 months and seemed to happen around 4am, but she
perservered and bf until 7-8 months.  She states that no one she worked with
then could give her any ideas as to what it was --

We have discussed relaxation techniques and all the suggestions for delayed
let-down -- yet many of them don't really apply as her let-down if fine
during the day -- it's not pain, fear, undue stress, etc.  She's not
necessarily expecting it to happen, -- she doesn't feel that it's induced
psychologically, but of course it does stress her when it happens again
along with the sweating.

So has anyone ever worked with a mom who has experienced this?  Any ideas on
what might cause this?  The mother is satisfied that her baby is growing
well on her breastmilk and acknowledges that this might not be a bf
management problem, but she would like to know what is happening and if
there is anything that she could do to "fix" it.  She specifically wonders
if there might be any relation to certain food intake and this happening.

Thanks in advance for any light you can shed on this.  Also, if you do have
any info or ideas I'd like to forward your thoughts to this mother (I've
also copied this email to her).

Regards,
Cindi Swisher, RN, IBCLC
Alliance Breastfeeding Center, LLC
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