These are necessarily related, but I had the thoughts in the back of
my mind to ask you all.

I have heard said from a CBE/RN/LC that there can be a small (dime
sized) retained fragment that doesn't have to be evacuated, but can be
enough to either prevent lactogenesis, or cause lactogenesis to cease
shortly after birth.  She has suggested black and blue cohash to
remove the fragment.  Others (non medical people but usually online
women whose milk never came in) swear that the risk of infection is
phenomenal and must be removed.  Does the milk come in after
evacuation?  Robin Cunningham at the local LLL conference last weekend
suggested that the fragment may be small enough to be reabsorbed by
the body, but she is a pedy.

Please give me any and all thoughts on this.  I've been burning with
curiosity for a long time.  Usually women get very offended when this
is mentioned some months after the fact, when it is so hard to
diagnose *anything* about "lactation failure".  IME.

Thought two.  Is there anyway to jumpstart breast changes during
pregnancy?  If a woman is 30 weeks and has detected no breast growth,
can anything be done?  I have a theory that labor, and specifically,
vaginal delivery help the breasts respond and begin lactogenesis
because the stretching of the perineum has been shown to up-regulate
the number of prolactin receptors.  So- if there is little growth of
lactating tissue during pregnancy, a vaginal birth should be strongly
encouraged, as well as letting labor begin in it's own time.

These aren't really the same questions, but they are related.  Hmmm...
maybe the developers of SSRI's could be encouraged to develop a SPrlRI
for the few women who do have insufficient growth of lactating tissue.
 Doubtful though.  ABM is cheaper to make and commands a higher profit
margin.

Anyway, Please if you have any thoughts on this, let me know.  I think
I really need to re-look at the PhD in neurosciences that I thought
about once upon a time.  NOOOOOOOOO!!!!!!!!!

==

Kate Hallberg, mom to Ursula (11-23-94) and Sage (4-13-97)
Home page- http://www.cs.colorado.edu/~kolina
Temporarily in Palo Alto, California.  I'm told it rains all winter here.  mailto:[log in to unmask]

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