Katherine, I had a case about 3 months ago now where a mom bled out postnatally and required 2 units of blood and an ICU stay in the hospital which caused me to search the literature for more information and I didn't encounter any data on actual percentages of blood loss and its correlation to milk volumes. We need to publish more case studies on these cases so that we can someday come up with possible numbers of predictability, if that's even possible. Anyways, the outcome was a good one considering the circumstances and I think it was the lactation interventions that made the difference. Last I knew mom was returning to work and breastfeeding her baby with only supplementing approx. 2 oz. per day. The hospital LCs were wonderful! They took the baby to mom in the ICU on a daily basis and assisted her to express her milk with a hospital grade electric breastpump soon after birth. I know it took time and commitment for them to bring her baby to her on a daily basis, but I betcha it made a difference! And, I know when I came into the picture at approx. 10 days after birth, the mom had been well informed and supported with the sense of continuing to pump her breasts because her milk supply was delayed, but would have the best chances of coming in fully if she continued to stimulate her breasts, and so she did. I was referred to by the hospital LCs for follow-up post-discharge and corrected the latch and accurately measured volume of intake. The latch was shallow, and probably was partially caused by mom's slow milk production. This particular mom was a very high-level functioning individual which may have contributed to her outcomes, too. I really enjoyed meeting her and talking with her and she periodically keeps in touch with me. The case studies publication that we need to do so that we can perhaps provide accuracy in our predictions can facilitate improved outcomes for these women, but I'm as quilty as the next person in not making the time to publish my findings. I did suggest publication with the hospital LCs, and one of the LCs was going to use the case internally for her leveling merit, so it is serving a purpose. Carol Chamblin, RN, MS, IBCLC Breast 'N Baby Lactation Services, Inc. St. Charles, IL *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html