Don't know if this has been noted before while I was off LN in the fall:

 West J Nurs Res. 2005 Oct;27(6):676-93; discussion 694-700.


Psychological distress and milk volume in lactating mothers.

Hill PD, Aldag JC, Chatterton RT, Zinaman M.

College of Nursing, University of Illinois at Chicago, USA.

The purpose of this article is twofold: (a) to compare psychological
distress as measured via self-reported perceived stress, sleep, and
fatigue levels in lactating mothers of a term infant and mothers of a
preterm infant and(b) to determine whether the addition of psychological
distress to a previous model predicts milk volume at Postpartum Week 6 by
gestation group. The convenience sample of 95 mothers of a preterm infant
(31 weeks) and 98 mothers of a term infant completed the Perceived Stress
Visual Analogue Scale, Richards-Campbell Sleep Questionnaire, and the
Fatigue Visual Analog Scale. Stress, sleep difficulty, and fatigue levels
decreased during the 6-week study period for mothers of a term but not
for mothers of a preterm infant. Perceived stress, sleep difficulty, and
fatigue during the first 6 weeks postpartum were not related to milk
volume; thus, the mother's perceived psychological distress had no
apparent effect on lactation.

PMID: 16157942 [PubMed - in process] 

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