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Mon, 12 Dec 2005 22:28:00 -0800 |
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Hi All,
Just when I think I have a really good understanding of MER I get
confused!
I thought lactogenesis 1 happened as a response to the placenta being
released from the uterine wall. Pumping or not, BFing or not, the
milk will come in, it just won't STAY in without demand. Am I totally
off base here? Without pumping q3h in the first days PP, will we have
missed the chance to establish a FULL milk supply?
Sometimes when I see a one or two day old who is alert when awake but
very sleepy from a long 'abused' (from induction on, we can all fill
in the blanks) delivery, and the mom wants to and is able to sleep, I
encourage her to do so as I know what is going to happen when the
drugs wear off and the baby comes to. Plus, it gives the worst of the
edema a chance to subside in the areolar tissue instead of yanking it
down with a pump q3h. This is not a baby with an elevated bili,
lethargy or any other red flags. An otherwise full term healthy baby.
Am I messing up??
Oh boy, yank my certificate.
TIA
Annie VerSteeg
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