Hi. I repeat an earlier note by Kathleen Auerbach, April 8, regarding heavy
bleeds and bf problems.

"Advance notice: the June 1995 issue includes a discussion of postpartum
hemorrhage and subsequent breastfeeding problems. Look for it.  In this
case, we are talking MAJOR bleed, not a usual loss or "greater than normal"
one.

I also have observed that mothers with a severe bleed do not make milk, or
have a serious delay in same, and volume is simply not there. If they stick
with it with lots of stimulation (by good pump and baby), things can be
resolved, but not always.

We need MORE studies of this issue. (hint hint)

         %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
         %%  Kathleen G. Auerbach, PhD, IBCLC    %%
         %%        Lactation Services            %%
         %%        Homewood, Illinois            %%
         %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

I do not know if this bf problem is related to the bleed and loss of volume,
or the the low hemoglobin.  Any more comments? Of course other things to
check are retained placenta, and if it persists, hypothyroidism.

Kathleen Bruce

>

**********************************************************
Kathleen B. Bruce RN, BSN, IBCLC
Williston, Vermont USA
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