Delayed lactogenesis and excess neonatal weight loss are common across ethnic and socioeconomic categories of primiparous women in northern California
However, for one of these studies, the relation between BMI and
delayed lactogenesis was no longer significant when parity was included in the model (8).
Approximately 46 % of new moms with a BMI under 30 experienced
delayed lactogenesis 2 and the statistic jumped to 58 % among new moms considered obese.
In my practice as an International Board Certified Lactation Consultant, after ruling out known causes of
delayed lactogenesis such as underactive thyroid, postpartum hemorrhage, or retained placental fragments, and after applying the very best lactation management techniques, I have documented that only one in a thousand (0.1 %) of new mothers simply do not produce any breast milk at all.
Cesarean births are associated with
delayed lactogenesis II (when the mature milk, «comes in») which can contribute to excess weight loss in the infant and the need for supplementation.
As most Caesarean births are carried out via epidural, the epidural issues all apply, but in addition there is the position and pain associated with the scar,
delayed lactogenesis (production of milk) and a perception amongst women and HCPs that Caesarean birth is a barrier to breastfeeding.
So, Beth the first thing that you've mentioned when talking about low milk supply was that: «Sometimes it's just the birth and getting that kind of
delayed Lactogenesis — the delay of that fuller milk coming in.»
Sometimes moms don't realize it, but receiving the epidural, a prolonged epidural during the delivery can sometimes
delay the lactogenesis process or the milk production process after the birth.
Not exact matches
Lactogenesis II will be
delayed, it will take significant help — pumping, herbs, perhaps medication, to build even a partial milk supply.
A
delayed onset of
lactogenesis (aka your milk hasn't «come in») is unfortunately not uncommon.
A traumatic birth can
delay on the onset of a mother's mature milk («milk coming in»), known as
lactogenesis II, sometimes by several days.
This is an important group to consider because combination feeding is common, for example, in the first few days in the hospital when
lactogenesis II is
delayed while a mother's breast milk is becoming established, among mothers who have difficulty producing adequate milk and supplement their own milk with infant formula, or among mothers who are unable or choose not to pump breast milk when separated from their babies.
From a clinical perspective, primiparas who are older, overweight, or who give birth to an infant > 3600 g are at greater risk of
delayed OL and thus should be provided with appropriate lactation support until
lactogenesis has occurred and the infant is gaining well.
Women who do not breastfeed at all in the early postpartum will still experience
lactogenesis, but they are more likely to experience
delayed OL (6).
Background:
Delayed onset of
lactogenesis (OL) is most common in primiparas and increases the risk of excess neonatal weight loss, formula supplementation, and early weaning.