Mother with no signs of milk Rachel you also mention that the mom was on MGSO4. Its not uncommon from information i have read that these moms tend to have delayed let down. We see this all the time at our high risk hospital. If mom also had additional bleeding prior to the removal of placental tissue that alone can also delay let down. Her body has been through alot. The plan of continuing to pump 8x/24 hrs. for 10-15min. would keep up the stimulation and yes the hand expression of the colostrum after pumping . The U/S that was mention to check for further placenta retention was a good idea . Do you know if her blood count ( hgb.) is doing ok or is it continuing to drop? That might also be an indication of retained placenta. I do know after delivery a D&C has to be done very carefully for tendancy to perforate the uterus. There are several medical OB books you could look up D&C in relation to infertility. There is no grounds for that. I had retained placenta and had to have a D&C x2 and infertility was defintely not an issue. Maybe the docter was concerned about perforation and the possiblity of a hyst. Tube feeding could be done with the infant to keep baby at the breast. Good luck Bonnie Shafer RN, IBCLC *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html