Yup!  When it's a second time mom and I explain this to her, she often gets tears of joy/relief/understanding in her eyes that it wasn't something she did wrong with baby #1, she's not an inadequate mother.  Nature just made her different and like all of us (on any topic), we celebrate doing the best we can with the resources we've got at the time.

Use the story.  Paint the word pictures.  A picture is worth a thousand words because even if it takes you a thousand words to paint it, it will stay in a new mom's mind better. And this is a particularly powerful story! A mom who had given up on giving birth sitting in a dark room doing nothing but holding and nursing her baby and glowing with joy for her blessings! (Stories also take the focus off the mom for a few minutes thereby reducing her stress.)

Debbi

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Anna Roberts
Sent: Monday, September 24, 2007 7:41 PM
To: [log in to unmask]
Subject: Re: PCOS & bfdg (long & case studies)

Wow. Thank you so much for sharing that. I had a "DOH" moment while 
reading your response. You stated "I want to do everything I can to avert the 
heartbreak. So this is one I try to catch proactively while we still have the help
Of whatever immediate post-birth hormones she's got working and long
BEFORE there are supply/wt gain problems.  Therefore, I notice every mother's
pre-preg height & weight & age & how many babies she has with every chart I 
open on the post partum floor. If she's a disproportionate weight for height 
and "old" and it's her first baby, I ask if she had trouble getting pregnant. If 
so, that lets me go further and ask if she's got PCOS or insulin 
insensitivity/metabolic syndrome/syndromeX (google those).  If she says "no," 
we're good.  If she says "yes," it opens the door to the rest of the 
conversation."

Well of course it makes more sense to go into it knowing that if there is a 
problem then PCOS might be one cause of it. I don't know why that didn't 
click before I read your response. That is more along the lines of what I am 
asking. If so many women have PCOS and 25% are undiagnosed, then it 
should be something we all keep in the back of our mind. Knowing that PCOS 
does not stop affecting a woman once she gets pregnant. Your response has 
given me more to look at thank you again for your very helpful post.
I would think that many women would be relieved to know that it is not thier 
fault that their body is not responding as it should. 

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