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Subject:
From:
Barbara Wilson-Clay <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 10 Nov 1999 10:56:40 -0600
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I see a lot of women with PIH who have significant swelling of the limbs
and/or face.  It has been my clinical impression that they have delayed
onset of copious lactation.  Milk supply increases as the swelling
decreases.  My theory is that prolatin (which has water regulatory roles in
addition to milk-production duties in the body) gets "distracted" away from
the breast target receptors and mobilizes to help the woman deal with the
edema.  Once that job is over, the prolactin returns "attention" to the
breast. It is impt. to tell women in this situation (as we would emphasize
to women who have lost a lot of blood) that they may need to supplement in
the meantime, but to keep pumping at q3 hr intervals EVEN IF NOT MUCH MILK
IS EXPRESSED.  This keeps the prolactin receptors turned on (if you will
pardon an additional use of imagery) so that the milk-making POTENTIAL is
preserved while the physical crisis resolves.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html

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