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Sun, 18 Jan 1998 23:27:14 EST |
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<<her mature milk does not seem to have come in>> given this info and the
fever, the mom most likely has retained placenta!!! She needs to be tested
ASAP. The placental piece (can be as small as .5 cm) can permanently damage
the uterine wall and impair future fertility. I went through a credia
placenta twice no one want to believe I had retained placenta because I had
c/sections. Obviously it can and does happen.
<<The interesting part of this story is that the mother has a history of
considerable nipple damage when she was sexually molested about 10 years ago.
At that time she was told by her doctor that because of the damage, >> This is
red herring. It merely directs attention away from another cause. If she has
nipple damage that severe, the issue would be no breast drainage, thus she
should be very engorged. If she is not engorged the milk has not come in.
Nerve damage to the nipple can be considered. However the milk will come-in
without breast stimulation, again back to the lack of engorgement issue.
Please let us know how this case resolves
Marie Davis, RN, IBCLC
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