retained placenta?

[Guest guest]

Dear Ibolya:

I am a private practice LC who has never worked in a medical facility,

and therefore may have less experience in this area, however...it seems

to me that someone who delivered this early may also have less noticeableLactogenesis II because the development of the pregnancy was premature.

We do see that many mothers of premies have a slow incoming of their milk.

Since we all know that 'milk removal' is key to the influx of a full milk

supply and that some women take up to 2 weeks to produce the volume

of milk that other women produce on the 2nd or 3rd day, (BF & Hum Lact3rd ed pg 277-279) we can assume that this mom is within a 'normal' range with delayed Lactogenesis II. I have not found a reference yet to the

possibility of my 'theory' on less mature lactation in a preterm infant.

So - I guess I am suggesting that there may be no retained placenta - but

just a less developed lactation system which did not fully mature.

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Re: retained placenta?

Posted by: "Ibolya Eva Rozsa" ibclc@... eboy1323

Tue Jun 20, 2006 1:53 pm (PST)

Thank you, Donna!Your mom must have had a hard time losing two babies! I am so sorry!We don' t know the reason yet, an autopsy is about to be performed. But yes, my sister is Rh negative and the father is Rh positive. My sis had an abortion a few years ago, but she says she got the anti-D. Now during this pregnancy she was scheduled to get anti-D 3 times and her next appointment was due on Tuesday, 2 weeks ago. A few days before that time she did not feel the fetus moving. She called her general practitioner that told her not to panic, she could just go to the scheduled appointment. My mom and I were the only ones telling her to go the ER, not to wait until Tuesday. Labor was induced on Thursday morning, and the baby "born" on Friday evening. Now it has been 11 days. She did not take Bromocriptin that she was offered. Her discharge is pinkish - as my mom discribed tonight - and not too much. My sis experienced milk leaking from her nipples over the weekend when she removed her bra for two days. Although it was a small amount. Thanks for the support!Ibolya Re: Re: retained placenta?Hi Ibolya, I too am so sorry for your sisters loss. I have worked with a few moms with retained placenta, and know of a neighbor that had a similar problem that was not dx for two years - odd situation. It could very well be a retained placenta - a simple sonogram could rule that out. Also the lack of lactogenesis could even be a mental/emotional thing going on - or could it possibly be a physiological issue due to the stillbirth - you did not say the reason for the loss. Was she RH negative with a RH positive father? My own mother had this happen twice after I was born and lost two full term boys before the rh shots were available. She did not have an issue of lactation because it was common to receive meds to "dry up " even with normal live births in the 1960's in the USA (unfortunately for us).Again please accept my condolencesDonna B. Kimick, IBCLC, RLC______________________________________________

Sharon Mattes, IBCLC, RLC, LLLL, AAHCCHelping Breastfeeding Mothers since 1973

Natural Beginnings...the informed parent's resource - www.naturalbeginningsonline.com

Live realistically. Give generously. Adapt willingly. Trust fearlessly. Rejoice daily.

[Guest guest]

Thank you, Sharon, for your input! You must be right. My sister sent me a message today, saying that her discharge turned brown and some milk has been leaking from her nipples since she removed her bra. What a relief!

Thanks a lot again, everyone, for sharing your thoughts.

Warmly,

Ibolya

Re: Re: retained placenta?Hi Ibolya, I too am so sorry for your sisters loss. I have worked with a few moms with retained placenta, and know of a neighbor that had a similar problem that was not dx for two years - odd situation. It could very well be a retained placenta - a simple sonogram could rule that out. Also the lack of lactogenesis could even be a mental/emotional thing going on - or could it possibly be a physiological issue due to the stillbirth - you did not say the reason for the loss. Was she RH negative with a RH positive father? My own mother had this happen twice after I was born and lost two full term boys before the rh shots were available. She did not have an issue of lactation because it was common to receive meds to "dry up " even with normal live births in the 1960's in the USA (unfortunately for us).Again please accept my condolencesDonna B. Kimick, IBCLC, RLC______________________________________________

Sharon Mattes, IBCLC, RLC, LLLL, AAHCCHelping Breastfeeding Mothers since 1973

Natural Beginnings...the informed parent's resource - www.naturalbeginningsonline.com

Live realistically. Give generously. Adapt willingly. Trust fearlessly. Rejoice daily.