Hi everyone! Welcome to all the newcomers once again. The learning curve on this keeps going up! I love it! Thanks too for all the input on older women and lack of milk supply. When you start seeing things in practice that aren't documented in the literature, you begin to wonder if you are just seeing things, or if they are really there.... I've got another one for you: How many of you have seen a relationship between Pitocin induction and delay in milk production? Now, let me qualify that. There are two things that I see in practice. One is that moms that have been induced (not stimulated, but induced), especially over several hours - and it isn't uncommon for an induction to start one day, be stopped, and finished up the next (all too often with a C/Sec for failed induction, I'm afraid), seem to end up with a delay in milk "coming in." The antidiuretic effect of the Pit may cause edema of the breast and nipple tissue; the mom often has flat "meaty" nipples that are hard for the baby to get around to compress the areola. She'll tell me they look a lot different than they did before delivery, and the staff complains that "she should have done something about those flat nipples during pregnancy!" Also, she'll have a lot of edema in the ankles that wasn't there prior to labor. Milk production seems to be inversely proportional to decrease in edema, so for some of these moms, milk doesn't really come in for about 3-5 days instead of 2-3. Again, this usually happens in primips, because they are the ones that have the prolonged inductions. Sometimes there is a delay in milk even if the baby is latching on and breastfeeding well from the beginning because the breast tissue isn't affected. (I'm sensitive to the problem of the meaty nipples/failure to latch on therefore no milk issue) Multips, if induced, generally dilate faster, and I don't see as much edema and nipple problems in them. Any thoughts? And, if others have seen this, and know how and why it happens, is there anything we can do to speed the process along? Attendant with milk production delay is often a fussy baby, a mom who assumes she doesn't have enough milk (and truly, she probably doesn't right now), supplementation, and voila, all the problems attendant with that. Jan Barger [log in to unmask]