This probably doesn't fit the mom you're working with -- more related to
antenatal steroids
http://pediatrics.aappublications.org/cgi/content/full/121/1/e92 Over the
years I've known/worked with a number of women on chronic steroids for MS,
RA, etc and they BF fine.

Was "transferring milk" assessed via pre-/post-feeding weights and, if so,
how much is baby transferring? What behaviors does baby exhibit prior to
self-detachment on each breast?  If BF is constantly complemented with 2 oz
(60 ml) is mom also pumping after BF?

Unfortunately, delayed lactogenesis 2 is becoming too common in our culture
http://www.fasebj.org/cgi/content/meeting_abstract/23/1_MeetingAbstracts/344.8

K



> Date:    Wed, 24 Feb 2010 09:43:31 -0800
> From:    Linda vawter <[log in to unmask]>
> Subject: Steroids and lactogenesis II
>
>
> I am a hospital-based RN/LC and I am looking for any sources of
> information on the effect of taking steroids during labor and throughout the
> first 7 days postpartum (due to MS) and any delay in lactogenesis II.  One
> of our patients has had this experience and on day 9 still has a very small
> milk supply.  She denies any heavy lochia or any breast surgeries or trauma.
>  She reports having had normal breast changes during pregnancy. Baby was
> seen and is feeding well and also transfering the milk she does have well.
>  She states the baby feeds at breast every 2 hours around the clock and is
> taking about 2 oz. of formula afterward.  We encouraged her to continue to
> feed often at breast and note any increase in swallowing and breast fullness
> over the next few days then reevaluate.
>
> Can anyone add anything else and/or share any resources regarding steroid
> use and milk supply?
>
> Thank you
>
> Linda Vawter RN IBCLC
>
> California
>





>

Karen Gromada
www.karengromada.com/

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