Cathy, Lisa and anyone else with an interest in breast physiology I'd
appreciate your opinions on this.  A colleague of mine is currently
assisting a mother with an initially poor milk supply to breastfeed her
intrauterine growth retarded  2nd baby who was delivered early at around 37
weeks due to failing growth.  This same scenario happened with her first
baby and she was never able to achieve a full milk supply - though lots of
mismanagement happened along the way with that one.  This time the mother
reported that, unlike last time, she did notice some breast growth, but her
milk 'came in' very slowly - no abundant oversupply at all.  She has very
small breasts.  She received optimal breastfeeding management from the
beginning this time and commenced taking domperidone at about 2 weeks and
has plenty of milk now.
We were discussing the possibility of placental insufficiency having an
effect on breast development during pregnancy.  I know human placental
lactogen is responsible for proliferation of the ducts and alveoli, and
that in most women it happens early - first trimester;  but not all ...
some it happens quite late.  What we were wondering was could a woman who
is predestined to be a 'late' breast developer find she misses out
altogether (pre-birth anyway) if she develops placental insufficiency.  Are
human placental lactogen levels affected by placental insufficiency?  When
doing blood tests on a woman who has a diagnosed IUGR do they check HPL
levels?  Can anyone enlighten me more on this subject?
TIA
Denise

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Denise Fisher MMP, BN, IBCLC
BreastEd Online Lactation Studies
http://www.health-e-learning.com

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