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Date: | Tue, 22 Oct 2002 20:00:53 EDT |
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In a message dated 10/22/2002 10:12:31 AM Central Standard Time,
[log in to unmask] writes:
> Julie, I think this is always a puzzle -- and there seem to be a lot of
> mothers that report the same thing. I often wonder if the answer is to be
> found in the very early days of breastfeeding -- that these mothers simply
> don't breastfeed often enough to lay down adequate prolactin receptors to
> maintain milk supply beyond that three month mark. I do talk to mothers
> about the frequent feeds (and/or pumpings if baby isn't feeding) helping to
> assure a robust milk supply down the road -- putting money in the bank, as
> it
> were.
>
Along with this, the prolactin levels are returning to pre-pregnancy levels
and are controlled by the autocrine system with peaks during sucking. That "
safety net" is gone. ( I like the graphic on page101 in Breastfeeding and
Human Lactation.)Sometimes there may be other life events coming in to play,
such as returning to work and pumping. Then baby is not at the breast as
much and the pump may not be as effective as her babies were. Or they start
with BCP. Plus who knows what else. Sometimes it is difficult to dtermine all
factors.
Tricia Hunt, IBCLC
In Lafayette, La. where they are finally beginning to remove the debris from
Hurricane Lili.
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