Yes, Jean, this mom will most likely have delayed lactogenesis. It may be  
more than a few days before she is visited by the "milk fairy" and gets her  
full supply. 
 
Did this mother happen to receive any steriods? These may delay  lactogenesis 
II by 2 weeks. She would need to keep pumping/feeding during  that time.
 
Remember to encourage skin-to-skin time since that can help raise prolactin  
levels in the mom.
 
In a message dated 5/24/2006 12:07:18 AM Eastern Standard Time,  
[log in to unmask] writes:

Today,  mom is back on the postpartum ward and baby has hardly left her arms. 
She  so wants to breastfeed and baby has been on the breast very frequently 
all  day and topped up with cup feeds per  doctors orders.  She does have  
colostrum  - more than a few drops now.

With a massive bleed  like this and its possible effect on the pituitary I 
expected delayed  lactogenisis.  I am hopeful that we will achieve full 
breastfeeding  within a day or two.  Is this realistic?



 
Margie Forrest, RN, BSN, IBCLC
The Lactation Corner @ Palms West  Hospital
Loxahatchee, FL

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