Hello Pat

The mother who suffered a haemorrhage after birth on 18 Feb and whose milk
has not come in...... this could be Sheehan's Syndrome, if there is
absolutely no milk at all being produced.  It's terrible.  I've worked with
two mothers who suffered this catastrophe, one after a very difficult
labour culminating in a C/section, and the other where the OB nicked the
femoral artery while performing an episiotomy.  The first mother was a
League mom, who had breastfed her first for about 2 years, and she was
absolutely heartbroken.  Her paed simply didn't believe that the milk
wasn't coming in, but it wasn't.  And eventually he had to agree to
formula.  The second mother's doctor was the same.  I had to convince both
these male doctors that this was a real 'thing'.  It's rare, It happens
once in 1000 births.  The baby must be fed breastmilk substitutes
obviously.  But there are ongoing problems for the mother - the pituitary
is affected, and there are ongoing problems with thyroid and adrenal gland,
depression, dry skin & hair, serious weight gain.  The mother will need
close medical follow-up for many months.  Importantly, it can cause
sterility, so not only is mother robbed of breastfeeding this baby, but she
may never have any more.  Absolute tragedy.

On the other hand..... if there is even just a little milk, you could
follow the pointers for postpartum haemorrhage, get doctors to keep an eye
out for retained placental fragments, and if the mother will keep
expressing the small quantity of milk produced and receive iron
supplements, the milk may slowly increase in amount, may take about 6 weeks
to make a full supply.

Hope it's the latter, and not the former.

Happy IBCLC Day to all you clever breastfeeding experts out there!!

Pamela Morrison
IBCLC 1990-2020, Rustington, England.
-----------------
 Date:    Wed, 3 Mar 2021 04:21:15 +0000
From:    Patricia Young <[log in to unmask]>
Subject: Have a problem...

mom had baby Feb 18 with a pp hemorrhage.  Lost about 1.3 L blood.  Her
milk isn't coming in...any good ideas.  She successfully BF her 1st baby.
THANKS. haven't ever encountered this situation.  Pat in SNJ

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