<<may feel offended at the (unfounded) suggestion that he may not have
properly completed the delivery of the placenta.>.
I have been on the recieving end of that exact type of wrath on more then one
occasion. So I understand how difficult the situation can be. In situations
like this one often feels powerless because we can't order the tests
ourselves.

<< Are the numbers behind the references to Riordan and Auerbach, and Lawrence
and Lawrence which you quoted *page* numbers??  If so, which editions??  If
not, please could you quote the full refs?  The OB I would like to discuss
this with is very picky and exact - I need to be quite, quite clear on my
facts before I open this up for debate!  Thanks. >>

They aren't "my numbers" :-(  The page numbers shown are from the current
editions of Riordan and Auerbach Breastfeeding and Human Lactation (2nd Ed)
and Lawrence and Lawrence; Breastfeeding a Guide for the Medical Profession
(5thEd).

Perhaps doing a medline search for anything new on prolactin levels might
also be helpful.
I don't know if prolactin level would be useful in retained placental
fragments. Wouldn't the prolactin level remain very high in retained
placental fragments? In the clinic we did a pregnancy test (they are positive
for a little while after delivery the lab would know how long). If they are
positive then the mom goes for an ultrasound. If there is no baby then they
may end up with a D&C.
Marie Davis, RN, IBCLC

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