Hi Roosje
That is how I thought of it, it would just be nice to say the impact of
this leads potentially to that. It happens so rarely that its difficult
to track any specific problems. In the future I will keep a case history
on file - the women usually are agreeable with this or simply keep the
file name for a later audit.
The unit I work is a teaching hospital with a large NICU linked with a
Children's Hospital so we get a vast range of complex women. So these
women are more likely to present. If anyone is interested in contacting
me if they are interested in setting up a database of information so
that we can work on analysing a few cases to see if we can find a trend,
please contact me privately. This could lead to a research paper in
time.
Thanks
Gwen
Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]
>>> [log in to unmask] 08/12/2009 8:44 pm >>>
Hi Gwen,
This is just how I think it might be. When everything goes well with a
pregnancy, the well functioning placenta will allow the fetus to grow.
It is also the hormones produced by the placenta (progesterone and
possibly estrogen) that prevent the breast from producing large amounts
of milk. Once the placenta is born, full milk production will occur
after the closure of the tight junctions in the alveolar cells. But
what
if during pregnancy the placenta is not functioning optimally? Will it
produce enough hormones to keep the deliver at bay? Will it produce
enough hormones to inhibit milk production? Might these complaints of
premature milk production be treated by giving estrogen in addition to
progesterone?
Just my thoughts,
Roosje van Gorp
Maastricht, The Netherlands
Gwen Moody wrote:
> I have seen this also and would love to have an answer. I have even
had
> a couple of women (over many years) who developed mastitis
antenatally
> who were in with issues related to pregnancy
>
> Gwen
>
> Gwen Moody
> CNC Postnatal Care
> Westmead Hospital
> PO Box 533 Wentworthville 2145
> Phone: 02 9845 6964, 0422212774
> Fax: 02 9845 8340
> Page: 02 9845 5555 - 01135
> email: [log in to unmask]
>
>
>>>> [log in to unmask] 08/12/2009 9:11 am >>>
>>>>
> Hi,
>
> I work at a hospital and talked to a mom who is 28 weeks pregnant
and
> on bed rest. Her chief complaint is that her breasts are filling
with
> several knots, and increased colostrum leakage. Her physician is
giving
> her weekly injections of progesterone to inhibit premature delivery.
>
> I am trying to understand how this hormonal influence would cause
her
> milk to come in so early.
>
> Thanks,
> Brenda Phipps, BS, IBCLC
>
>
>
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