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Date: | Thu, 10 Jan 2008 05:43:27 -0500 |
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I got carried away on a rant. I do know that 82 lines is not a short post.
Even so, I forgot to mention that I have seen *rare* cases in which milk
production in women with no history of breast surgery did not respond to
frequent stimulation with careful attention to every single point in the process
and every imaginable effort on the part of the woman, and I have concluded
that there must be an organic cause for the lack of abundant, or even
sufficient, milk. In a minority of these cases there has been a known medical
condition which can affect milk production, including a case of diabetes
insipidus triggered in labor. I have also known women who have had breast
reduction surgery, hypothyroidism, and PCOS all at once, who have exclusively
breastfed. I know plenty of diabetic women who have exclusively breastfed,
and most of the IVF mothers we see do so too.
We only have 2000 births every year in my hospital, but a high proportion of
mothers who have problems with breastfeeding do come through our clinic. I
am always open for the possibility that their problem is organic, but in my part
of the world it is not common.
I don't think it is so far-fetched to think that this might differ according to
environmental and dietary influences. Norway is very restrictive on the use of
antibiotics in animal feed and hormones in animal feed are forbidden. But the
potential to improve outcomes by the simple measure of practicing in a baby-
friendly way, is huge.
Rachel Myr
Kristiansand, Norway
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