Greetings all -
I recall reading that lactation *failure* may occur <0.5% of the time.  This
would tie in with insufficient glandular tissue and those markedly
hypoplastic brsts?  Truly rare.  And sometimes hidden by implants.
 
However, chronic low milk production is another story.  Indeed much must be
a result of poor initial bfdg management, stress/fatigue from difficult
labor (espec primip), pp hemorrhage, etc.  But what about PCOS?  Lisa
Marasco published on this in JHL 2000.  I read consistently that it is"the
most common endocrine disorder...estimated to affect anywhere from 5-10% of
all women."  Ruth Lawrence et al write "Insufficient milk supply has been
observed in PCOS women who classically do everything right..." (p 584 of 6th
Edition of Bfdg, A Guide for the medical profession.)  Is this our smoking
gun?  
 
I have met pcos moms who are lactating just fine.  More commonly, however, I
find they achieve partial production, and with much effort.  Most were
diagnosed when had trouble conceiving, required Clomid, etc.
 
Joanna Koch, IBCLC - N. Ca
 

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html