Doreen writes:

"My  first thought was that mom’s milk did come in... 
'''...but that the IV  fluids in labour...
.....resulted in overall fluid overload/edema,  including breast tissue and 
areola. The areolar edema would be exacerbated by  pumping, effectively 
blocking off the flow of milk.  A perfect situation  for RPS.(reverse pressure 
softening)
Inability to move milk could then  result in involution.  
What do others think?"
~~~ Although we will never know, this makes sense. I've seen a few moms who 
 just don't get a full supply, and some whose supplies seem ridiculously 
low  taking into account other factors that make it appear there is no reason 
for  this. But sometime these moms were very fluid-overloaded, in 
combination with  expression techniques that didn't work - either the pump couldn't 
work  around the issue and no one suggested RPS, or the mom never had a good 
pump/was  never taught expression, or didn't use expression of any kind 
regularly, even  after the initial overload effect was past. The bodies of so 
many women are  having to work under very unnatural milk-making conditions 
these days.
Peace,
Judy

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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