I have permission to post the following on behalf of a client I have been 
doing lactation consults with.   A 32 yr old primip who delivered 3 weeks 
ago by primary C/S for failure to progress & fetal distress.  Mom gained 
greater than 45lbs and had mild symptoms of PIH.

She reported the following experience with letdown, "When the pins & needle 
sensation occurs, I at the same time for a 1 to 2 min period, feel like I am 
wearing a headband around my forehead and back of my head, which becomes 
tighter with a feeling of pressure while my milk lets down"   She denies 
this to be painful or like a headache, but is an odd sensation of 
significant pressure which resolves when the MER subsides.   She reports 
noting this pressure when her milk came in about day 4 to 5 and has 
continued these past weeks.  She did not mention this sensation until  the 
3rd visit we had together.  She wondered if this was normal.


She denied any typical symptoms associated with post partum PIH.   Her 
diastolic pressures were up, but her physican was not concerned given she 
had no other symptoms of PIH.


I did a quick search of the archives and found no reference matching her 
description.   Lawrence under, side effects and let-down, mentions 
associated headache which occurs transiently at the initial MER or when 
changing breasts.

I am interested if anyone has had this description; of a headband tightening 
around the forehead causing a sensation of pressure during the MER with 
women they have worked with?   Or any other references they might share with 
me.


Please respond to my email address: [log in to unmask] , as I am not 
active on the listserve at present.    Thank you.

Pamela Arnott, RN, BSN, IBCLC

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