I have been wondering for a long time if moms who experience a home or home-
like birth undergo lactogenesis II in less than 24 hours.  I have a few 
anecdotal stories (including my own) that seem to bear this out.  My milk 
came in copiously at hour 18 post-partum with my 3rd baby.  The hospital 
stay kept decreasing with each of my children.  My first stay was 5 days - 
should have been 7-10 days because 24 years ago that was the average 
hospital stay after a C-section, but I threatened to sign out AMA.  My 2nd 
stay was a little over 24 hours (unmedicated VBAC) and the only reason I 
stayed that long was my baby was a healthy 35 weeker and my ped was 
experiencing palpitations at the thought of such an early discharge.  I 
felt sorry for him and agreed to stay overnight - full rooming-in and SSC 
of course.  My 3rd stay (also unmedicated VBAC) was 9 hours from the time 
of admission in labor to discharge.  I stayed for 6 hours post-partum. The 
next morning at hour 18, I was experiencing full leaking breasts.
Makes me wonder if we all gave birth in the way that Mother Nature 
intended, if it is indeed "normal" to expereince an abundant milk supply in 
less than 24 hours.  Has anyone else had expereince with this?

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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