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Subject:
From:
Kate Hallberg <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 11 Sep 1996 10:13:41 -0600
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>I just thought of this - do you think because mom was induced and she wasn't
>really "ready" for the birth, maybe the whole milk thing wasn't ready yet
>either, physiologically.

This may be an explanation for some delays with induction, but aren't people
seeing it with augmentation as well?  I was in labor for 30 hours with
herbal (black and blue cohosh tinctures) augmentation before starting
pitocin.  After two walking epidurals and a spinal my daughter was born by
c-section after 57 hours of labor.  Let's see- Wednesday afternoon she was
born, Monday night my milk came in- 120 hours later.  It was time for her to
be born, but she had a short cord around her neck twice and wasn't
descending.   Hmmmm.... what could it have been in my case?  I doubt it was
merely the epidural as I didn't puff up like a balloon following leg surgery.

Regardless of what is causing it- induction, merely pitocin, merely an IV,
augmentation- I think women need to be told that their milk may be delayed
and supported through that.  I often hear about labors with intervention
where the milk takes four days and everyone (mom, pedy, dad) is convinced
that the baby is dehydrated so mom gives up on breastfeeding.  Finding the
truth after the fact is very difficult as these moms are upset or in denial
or convinced it's a genetic problem or whatever and won't speak with another
'pushy breastfeeding specialist' ever again.  This seems to be exacerbated
if there's brick dust urine, cranky baby and very little motivation to
breastfeed in the first place.

Kate, mom to Ursula,  21 mos old, 2'9", 25 lbs  ( 83.5 cm, 11.4 kg), and ???
due 3/30/97  in Boulder, Colorado.

A study of 78 primiparas examined the role of prenatal intent and postnatal
experiences in  breastfeeding duration. Those fully breastfeeding 3 months
after the birth of the baby had a higher level of education, timed their
decision to breastfeed earlier, intended to breastfeed longer and had a more
negative attitude to formula feeding. Commitment & confidence scores were
not related to breastfeeding duration in first-time mothers. Breastfeeding
duration was also related to the timing of the  first breastfeed and extent
of mother-infant contact in the 72 hours after birth but not to the number
of feeding problems. -  J Adv Nurs, 22: 5, 1995 Nov, 841-9
http://www.cs.colorado.edu/~kolina/Home.html

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