Hi, Diane.
       You ask if anyone has seen stress cause a problem with let-down.  Now,
let me preface this with:  yes, there are lots of unanswered questions in my
story here.  But I have worked with two mothers who had a family member
murdered while they were pregnant.  Both had trouble making enough milk.  One mother
eventually (after a couple of months) made enough milk; the other one never
did.  This is only an "n" of 2, but it struck me that I have only worked with
two women with such an experience, and they both had supply problems.  Now both
of these moms were phone-only contacts that I worked with as a LLL Leader,
not moms I would have definitely tried to observe during a feeding in later
years as an IBCLC.  So possibly both babies were not sucking correctly.  But
neither woman complained of pain.  (Yes, it's possible to have sucking problems
without pain, but much more usual to have the two together.)  And both were
nursing often enough that they should have had plenty of milk.  So my feeling on
this is that *moderate* stress (and unfortunately, very few American mothers are
not experiencing *some* stress) doesn't seem to affect milk supply, but
*extreme* stress can have quite an impact.
       Dee

Dee Kassing, BS, MLS, IBCLC
Collinsville, Illinois, in central USA

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