Frank Nice is at NIH (National Institues of Health) in Bethesda, Md.  His
article was in JHL(Journal of Human Lactation) last year, but my copy is at
the office and I don't have his web addresss at home, Perhaps that infor
will help.
Peg Merrill, IBCLC

> From: Automatic digest processor <[log in to unmask]>
> Reply-To: Lactation Information and Discussion <[log in to unmask]>
> Date: Thu, 30 Aug 2001 12:39:32 -0400
> To: Recipients of LACTNET digests <[log in to unmask]>
> Subject: LACTNET Digest - 29 Aug 2001 to 30 Aug 2001 - Special issue
> (#2001-743)
>
> Date:    Thu, 30 Aug 2001 08:34:14 EDT
> From:    "cheryl muller, RNC,IBCLC" <[log in to unmask]>
> Subject: Re: shooting pain in breast & extreme afterpains
>
> to Peg Merrill:
> R/T your pt whose previous baby breastfed for only 5 days due to shooting pain
> in the top part of her breast and extreme afterpains: my question would be:
> What was the birth like? Was she induced? How much pitocin did she receive?
> Was she overhydrated so that the engorgement from the fluids (and the pitocin
> which is an antidiuretic) caused pain with MER? Also how long was she given
> Pitocin? This can add to pain from MER. Also, did she have uterine clots her
> body was trying to expel in those first few days? I've seen women cry with MER
> in the early days as their uterus became hypertonic with trying to expel clots
> or retained placenta. I believe you need much more information from this lady
> before you might make a guess as to the problem with the first baby. Also keep
> in mind, women who obtained an epidural early in labor are more pain sensitive
> after. Also smokers. Good Luck and I hope she is able to have a better time
> next time.
> Cheryl Muller, RNC. IBCLC
> [log in to unmask]

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