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Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 21 Apr 1999 23:12:40 -0700
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Annie,

        I have seen women with HELLP Syndrome have difficulty with lactogenesis
and struggle with milk supply.  HELLP is the severest form of preeclampsia.
 In HELLP, there is a change in the coagulation process.  Maternal death
results from placental abruption, cerebral hemorrhage, acute renal or
cardiac failure, DIC.   My thoughts are that the pituitary gland may be
affected as in Sheehan's syndrome --  therefore leading to the compromised
lactogenesis.
        Donna Zitzelberger, RN BSN IBCLC
        Thousand Oaks, CA

>
>I have no idea why, but I have noticed clinically that sometimes a woman
>with severe pre-eclampsia does have delayed onset of lactogenesis or
>problems with supply. I worked very closely with one such woman who never
>did produce milk despite pumping and nursing and the  only conclusion I was
>able to come to was her severe pre-eclampsia. Anyone else notice any cases
>like this?
>Annie Furie, RN, IBCLC
>Albuquerque, NM
>[log in to unmask]
>http://www.growinglife.com
>

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