Kathy Leeper, MD, IBCLC wrote:

"I have seen several moms lately who received a lot of IV fluids and
pitocin, who present with no milk at 5-6 days and are retaining a lot
of fluid.(huge ankles) They appear engorged, but no milk is removed.
Has anyone seen a diuretic used in this situation??  My theory
being that the diffuse swelling includes the interstitial tissue of the
breast, and the increased pressure inhibits lactogenesis."

 I too have seen this happen and wondered why these moms take so long for
milk to 'come-in'. Actually, I hear from mothers that their milk is just
coming in at this late day of life.  When milk comes in, more than likely it
takes a day or so for milk to flow more easily.  I like your theory, and
wonder if it's true.  I wish for more studies to lead us in the right
direction with these moms.  Someone wrote a month or so ago, describing the
whoa's of interventive labor/deliveries....When you mess with this natural
process, you mess with breastfeeding.  How true it is!  I see it every day.
I'm thankful for the research/studies that have been done and know that we
need more.  If someone is willing to set up the study, we have such a
population to be studied here in the USA.
Thanks for these thoughts that will keep my thoughts open.
                                Betsy Wells-Gephart RN, IBCLC
                                Lactation Specialist
                                Chandler Regional Hospital

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html