D&C typically does not render women sterile.  However, I did see one woman
with retained placenta who had serious problems in the aftermath and
eventually had a hysterectomy, so I suppose it's possible there is something
going on.  However, if there are still retained fragments, they have to come
out or she'll have problems anyway.  Pumping may help shake loose fragments,
as will nursing, however, babies exposed to Mag. sulphate can be 'floppy'
and low tone for a while (Hypotonia in Infants, Peds in Review 1996;
17(3):104.)

Additionally, there is a case report (W Haldeman, Can Magnesium Sulfate
Therapy Impact Lactogenesis, JHL 1993; 9(4):249-252.) in which a woman's
onset of lactogensis phase II was delayed 10 days at which point she became
fully engorged.  I'd pump her in the meantime.

Barbara Wilson-Clay BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com

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