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Subject:
From:
"Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 2 Sep 1999 20:46:33 EDT
Content-Type:
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<< Karen Gromada wrote:
<Multiple gestation is a situation in which continued breastfeeding
definitely releases oxytocin that may
contribute to prematurity, but might it also strain maternal metabolic
processes to the point placental development and function is affected--no
one
really knows. But these are things to also think about...>

I would be interested in related research, references and/or case studies. >>


Re: Hi Junelle:

Not sure exactly what info you're asking for. The data re: preterm birth
rates (USA) is well established for multiples, as is incidence of fetal
growth restriction which is dependent on placental function. Let me know more
specifically what info you seek and I'll do my best to respond. Am happy to
privately email a ref list once I know the type of info you're seeking.

You may be interested in articles for the May/June and July August 1998
clinical issues sections of JOGNN--all about multiples--multiple gestation,
brith, parenting issues, etc. Also, Barbara Luke, PhD, RD has done/been a
participant in research re: outcomes of multiple gestation, and she released
a book on the topic within the last few months.

Karen

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