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Subject:
From:
Kermaline Cotterman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 15 Feb 2006 12:30:05 -0700
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Hope my error did not confuse anyone. I keep forgetting: "inta" means
within, "inter" means between.

<The function of the interstital fluid is
  to serve as an "intracellular lake" (should have read "intercellular") by
which to transfer raw materials,
  hormones, etc. from the arterial capillaries to the basement membrane
of  the individual alveoli, and transfer waste products of cellular
metabolism from
  the glandular cells back into the venous and lymphatic capillaries. . . .
. . . . . . . . .When
  overhydration occurs, interstitial fluid forms more rapidly than it can
  be absorbed by the alveoli or evacuated from the breast. Once the
amount is 30-50% above the normal amount, it is labeled "edema" . . . . . .
. .>

I am beginning to look on this phenomenon as "the elephant in the
obstetrical/anesthesiology living room". At some level many personnel take
it for "normal" without recognition (even by the pediatricians) that it's so
frequently a serious issue complicating the effective formation and transfer
of milk during initiation of breastfeeding.

Jean
********
K. Jean Cotterman RNC, IBCLC
Dayton OH USA

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