<I a
<I have reproduced?. not is milk ?leaked that understood always>So she starts
out with little or no edema
and only a small amunt of colostrum in her breast at the first feeding.
Then the volume of "creeping edema" added to the growing glandular
engorgement with milk is continually changing the resistance of the
areola, thus effecting the baby's ability to latch on to it easily.

Jean says this so well, so I will only add that I see the same effect. The
3-4L of IV fluids mom has received will show effects later in the day. Many
times the breast and nipple are still "flexible" and easy to latch and then
later...the breast becomes full and difficult to compress. And if she had a c/s she
is laying in bed and unable to get up to move and get the PP fluid shift
going. Pitocin also plays a part, as so well explained recently by Jan Barger.
There is a large volume of information on this in the archives. Not sure what
effect we can have on this situation as epidurals are the rage...and many times we
have no contact with these patients until the you know what hits the fan,
what's done is done and the "LC will fix it." Sigh....off to work.
Mary Kay Smith, RN, IBCLC
Canton MI

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