Hi All,
I think Nicole has put her finger on the most important issue - anxiety!
Oxytocin cannot kick-in while adrenaline is charging through the system. If
this woman has also had a C/S then she is really behind the 'eight ball'.
Anxious women are more likely to have C/S, induction, drugs, interventions
... etc. This anxiety can also have been caused by months of unsuccessful
attempts of ovarian hyperstimulation and IVF etc.
Doctors have a habit of dumping fear on women in the misguided belief that
they must advise women of all possible adverse outcomes or in an even more
misguided attempt to cover their own backsides and avoid litigation! ... or
even more self-serving attempt to protect their golf day!
Leanne.
Leanne Wynne
Midwife in charge of "Women's Business"
Mildura Aboriginal Health Service Mob 0418 371862
From: "Nicole Carver" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: RE: [ozmidwifery] Lactation after ART
Date: Mon, 24 Oct 2005 19:56:07 +1000
Another observation about women who have had ART, they are often anxious.
It
is difficult for an anxious woman to sit and finish a breast feed properly,
or even sometimes recognise feeding cues.
I wouldn't completely discount a hormonal link, although the hormones play
a
larger part in early lactation, from memory I think after three to four
months lactation is mostly under autocrine control ie local feedback
mechanisms in the breast (This might benefit from a bit more investigation
though).
Cheers,
Nicole.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Barbara Glare &
Chris Bright
Sent: Monday, October 24, 2005 7:45 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] Lactation after ART
Hi,
I think the answer is.....possibly. I tend to agree with Nicole that
it's
more likely to be birthing interventionist birthing practices which get
breastfeeding off to a poor start, followed up by scheduled breastfeeding
which makes brestfeeding successfully a near impossibility. After all,
women can breastfeed past menopause, without ovaries, breastfeed adopted
children without ever having given birth. I wouldn't assume that because a
women has to be assisted to get pregnant she won't be able to breastfeed.
I recently helped a woman who had given birth to twins @ 34 weeks. They
were concieved via IVF and the mother had PCOS. Most of the staff had
written her off. And when I first saw her she was so disheartened because
of the small drips of milk she was getting, the babies were being comped
and
she had to go home 3/4 of an hr from the hospital and leave her babies. 8
weeks later she was fully breastfeeding and babies putting on 200 and 300 g
per week each.
Barb
IBCLC
----- Original Message -----
From: Michelle Windsor
To: ozmidwifery@acegraphics.com.au
Sent: Monday, October 24, 2005 7:05 PM
Subject: Re: [ozmidwifery] Lactation after ART
Hi Jenny,
This is something that I noticed as well when working in a private
hospital in Hobart. The general consensus by the midwives there was that
if
a woman needed help to become pregnant then perhaps there was an underlying
cause which would then interfere with lactation. The midwives there said
they had noticed this quite often.
Cheers
Michelle
Jenny Cameron <[EMAIL PROTECTED]> wrote:
Hi all
Does anyone have information on the effect on human lactation of
assisted reproductive technology? I am noticing a lot of poor lactation
among women who have had a baby by ART. A lot of women seem to be on
Domperidone these days at the best of times?? Anyone else experiencing
these
phenomena? It does make sense that if the woman's hormonal milieau is such
that reproduction needs hormonal assistance then lactation is likely to
also??? Cheers
Jenny
Jennifer Cameron FRCNA FACM
President NT branch ACMI
PO Box 1465
Howard Springs NT 0835
08 8983 1926
0419 528 717
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