Kathy Leeper, MD, IBCLC wrote: "I have seen several moms lately who received a lot of IV fluids and pitocin, who present with no milk at 5-6 days and are retaining a lot of fluid.(huge ankles) They appear engorged, but no milk is removed. Has anyone seen a diuretic used in this situation?? My theory being that the diffuse swelling includes the interstitial tissue of the breast, and the increased pressure inhibits lactogenesis." I too have seen this happen and wondered why these moms take so long for milk to 'come-in'. Actually, I hear from mothers that their milk is just coming in at this late day of life. When milk comes in, more than likely it takes a day or so for milk to flow more easily. I like your theory, and wonder if it's true. I wish for more studies to lead us in the right direction with these moms. Someone wrote a month or so ago, describing the whoa's of interventive labor/deliveries....When you mess with this natural process, you mess with breastfeeding. How true it is! I see it every day. I'm thankful for the research/studies that have been done and know that we need more. If someone is willing to set up the study, we have such a population to be studied here in the USA. Thanks for these thoughts that will keep my thoughts open. Betsy Wells-Gephart RN, IBCLC Lactation Specialist Chandler Regional Hospital *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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