>>I'm afraid in our society here in the US, many of us have to practice
defensive lactation management.  We have to tell moms all the possibilities
and what to look for because they won't get the appropriate knowledgable
follow-up they should.<<

If a PCOS mom has good-looking breast tissue and development history, I
would watch but say little. If her breast tissue is questionable, I would
let her know that her PCOS (or whatever else) puts her at higher risk than
the average mom for milk supply. It is good to balance that with the
possible oversupply side, too. But she deserves to know this upfront. How
many moms have said to me, "why didn't someone tell me?"  I think it is
worse for them to think that birth is the end of their worries and it will
all be downhill (as in easier) from there. When the worse happens and the
milk doesn't come, they are blind-sided and devastated. Being upbeat but
truthful seems the fairest policy to me.

~Lisa

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