Wow. Thank you so much for sharing that. I had a "DOH" moment while 
reading your response. You stated "I want to do everything I can to avert the 
heartbreak. So this is one I try to catch proactively while we still have the help
Of whatever immediate post-birth hormones she's got working and long
BEFORE there are supply/wt gain problems.  Therefore, I notice every mother's
pre-preg height & weight & age & how many babies she has with every chart I 
open on the post partum floor. If she's a disproportionate weight for height 
and "old" and it's her first baby, I ask if she had trouble getting pregnant. If 
so, that lets me go further and ask if she's got PCOS or insulin 
insensitivity/metabolic syndrome/syndromeX (google those).  If she says "no," 
we're good.  If she says "yes," it opens the door to the rest of the 
conversation."

Well of course it makes more sense to go into it knowing that if there is a 
problem then PCOS might be one cause of it. I don't know why that didn't 
click before I read your response. That is more along the lines of what I am 
asking. If so many women have PCOS and 25% are undiagnosed, then it 
should be something we all keep in the back of our mind. Knowing that PCOS 
does not stop affecting a woman once she gets pregnant. Your response has 
given me more to look at thank you again for your very helpful post.
I would think that many women would be relieved to know that it is not thier 
fault that their body is not responding as it should. 

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