Michelle asks for help in getting this reference:

The placenta in the integrated physiology of fetal volume control J. Job
Faber* and Debra F. Anderson Heart Research Center, School of Medicine,
OHSU, Portland, OR, USA

I googled the entire title, and found that the whole article itself can be
obtained through the second reference that comes up. I glanced over it
briefly, and look forward to reading it further to piece together the
insights. I  believe the AW'HONN protocols for management of fetal distress
list as one intervention to give the mother a bolus of IV fluid to
ultimately effect the placental exchange. Can any current L&D nurses on the
list comment on that (since it has been decades since I worked L&D)?


Michelle's focus is the possible relationship of the amount of maternal IV's
to infant weight loss.


My interest is in the relationship of the amount of maternal IV fluids (with
exact measurement) before and after the birth of the placenta with pre-L-2
edema in the breast, as well as late onset of L-2..


Such things as these effect the total amounts of IV fluid any one mother may
receive. I am interested in references for recent articles on late onset of
Lactogenesis II. An article in the newest issue of JHL reports that mothers
in the research done in Ghana experienced onset of L-2 within 6-24 hours or
so. I imagine that few mothers there receive IV fluids. They do have some C.
Sections among their mother in that article. Surely they must have gotten
some IV"s too??? Wonder if they have cultural customs for prenatal nipple
preparation that stimulates earlier onset of L-2? (I once saw a UN movie of
an African mother "stripping" the nipple-areolar complex, temporarily
stretching the areola during the process. Dont' know if it was prenatally or
during lactation.) I also read a 1975 article on induction of labor with a
breast pump, and the side effect in all cases was an early and copious milk
supply.

What are we missing in our culture? Does this make sense to anyone else??

(Up too late, not up too early.)

K Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC
Dayton OH

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