I just wanted to fill in 'the rest of the story' with a situation I 
was assisting with.  I posted to the list about it (in response to 
Kelly's post, below) on March 30 2007.

The mother went into preterm labor at 32 weeks.  The baby remained in 
utero, but the mother experienced apparent lactogenesis II with 
engorgement and significant milk production.  Based on what 
information I could find (thank you Kelly for the Hartmann 
reference), the prognosis for the mother's eventual full milk 
production was not good.

Well, as it turns out, the mother delivered at 36 weeks, and three 
days later her milk came in -- again!  I think it is still too early 
to tell whether her production may have been affected by the first 
episode of lacto II.  At this point everyone is pleasantly surprised, 
and mother and baby are doing well.

It would take someone more knowledgeable than me to explain how 
lactogenesis II could occur twice.  Anyone care to give it a shot?  I 
would love to know how this might have happened!

Margaret
LLLL, APL
Longmont, CO


On Tue, 27 Mar 2007 11:55:23 -0400, Kelly Vackert <[log in to unmask]> wrote:

>This was briefly mentioned in a Health-elearning course I took stating
>occassionally one can go in preterm (or threatened) labor and move into
>lactogensis II (while remaining pregnant).  High corticosteroid levels and/or
>steroids administered competes with progesterone that results in stimulation
>of the breast and causes this lacto. II to occur before delivery (with poor
>lactation performance at term).
>
>I am sure there are many variables that can make this occur, however any
>and every information can help!
>
>Warmly,
>Kelly Vackert
>

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