Hello, 

I post this again and hope if I could get something to say for this confused
mother... In Finland we have now holidays and may be thats why I didn't get
any answers from finnish bf-list. I put my hope to you all. 


What might happen, if a piece of placenta is found three months postpartum?

Case-mother (primipara) gave birth three months and one week ago. Milk came
up slowly (five days) and baby had some sucklng difficulties, but finally,
after coming home from the hospital the mother had enough milk. This good
phase lasted for three weeks. After that the baby begun to nurse every one
hour, but still, according to the mother, milk amount was decreasing.

This phase lasted for two weeks. After that the mother decided to start
supplementing with formula. At this time the baby started also to fuss at
the breast. Nursing was difficult and finally the mother decided to pump and
feed the baby with bottle.

At three weeks postpartum the mother was diagnosed having retained a
fragment of placenta in her womb. The fragment was removed soon after.
Before treatment the mother pumped breastmilk 200 ml per day, and she
described that pumping was tricky, because the let-down was hard to get
started. One week after the removal she pumped 300 ml per day.

What happens now?
Mother is greaving for her unsuccessful nursing, but wants to continue
pumping. What is happening in her breasts now, hormonally and fysiologically?
Any idea why the mother had full supply for few weeks despite that placenta
fragment in her womb before the amount of breast milk started to decrease?


Yours sincerely, 

Leena Pikkumaki

PS: my introduction: I am a project worker for The Breastfeeding Support
Association in Finland (Imetyksen tuki).

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