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Subject:
From:
Pamela Mazzella Di Bosco <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 19 Nov 2005 09:28:50 EST
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Well, I did not mean to send that question after all, as you can tell  by the 
opening of studying for the exam. Haha.  Which thankfully I did pass  so I 
don't have to climb under a rock or change my name and move to a faraway  place. 
Haha.  
 
But, I guess if there is an answer, I would still like to know it for the  
supply question, and as for glandular tissue, that was ages ago, and here it is  
being discussed again but relating to pcos.  
 
I too find it is very hard to be the bearer of bad news.  However, I  also 
think who better to do so than one of us....someone who actually believes  her 
breastfeeding matters!  So many will tell her there is not enough, or  
whatever, who won't value her loss, won't see the big deal with her sadness  because 
as far as they are concerned it is no big deal to breastfeed.  But,  we know.  
We know it matters and that her loss is real and may be sad for  her.  We will 
be able to help her find a perspective and protect as much of  the 
relationship of breastfeeding as possible -- even if we can't help her with  a full 
supply.  We are the ones to know that the breastfeeding is the  process as well as 
the product and she can keep the one even if she can't  completely have the 
other.  So, yes it makes us feel bad as we want to 'fix  it' and that feeling 
is hard, but as often as I have had to be the bearer of bad  news, I am always 
glad it came from me and not someone who just thinks babies  and bottles go 
together.  
 
Interesting...I wrote the original posts ages ago and just go sidetracked  
and forgot they were there or someone else said it better.  And here we are  
again dealing with lack of milk, how to share the news, why it happens, how to  
help, etc.  Seems to me that as the number of  mothers breastfeeding  grows, 
the more we will be aware of complications.  Thinking that years ago  these 
mothers would just have never asked for help so we assumed the issues  didn't 
exist in such numbers.  Even today, I wonder how many women have  milk supply 
issues that are not addressed by lactation consultants, and instead  they just 
quit.  Or who never planned to breastfeed, and never notice that  their milk 
never came.  I have been doing this for 15 years plus as both  volunteer and LC 
and I see many more women with true lack of milk than I did in  years past.  
And, I don't mean mismanaged breastfeeding, I mean lack of  production 
period...no Lact. II at all even by 2 or 3 weeks.  I have seen  many with delays of up 
to a 7 days.  Many with barely there milk that takes  weeks to be a full supply 
and even then only with galactagogues.  I think  we are only beginning to 
understand some of the reasons for this, but I would  like to see us understand 
more.  It bothers me that we don't have much  research about the function of 
female mammary glands and solutions.  Why  can't they find a little pill for 
women to take when they have mammary gland  dysfunction?  It would be so nice if 
along with the bad news, I had a real  solution that would solve the problem.
 
Take care,
Pam MazzellaDiBosco, IBCLC, RLC
Florida, USA
 
 

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