I've read some great posts lately, and I want to share several of them with you. First, the news items:
From the Motherwear blog, Study: Common antidepressants can delay milk coming in
. According to the study, women who were taking an SSRI drug like Prozac, Zoloft, or Paxil had a median onset of lactation difference of about 17 hours - 69.1 vs. 85.8. This is especially important given that milk is termed "officially" delayed if it takes more than 72 hours to come in.
Of course all this is not
to say that mothers taking an SSRI drug should not breastfeed! Just that they should be aware that it may take a bit longer for their milk to come in, and that this longer length of time is normal for women taking an SSRI drug. Ideally, they would also be aware of the problematic sequence of events mentioned in the post, and take steps to prevent longer-term challenges:
"delayed milk "coming in" can have some serious consequences, especially if it isn't managed well. The drill goes something like this: delayed onset of mature milk leads to higher than normal weight loss in the baby, which leads to supplementation, which can lead to compromising of the milk supply and/or nipple preferencing if the supplementation isn't done carefully. It can also increase the risk of jaundice.
Talking to a local lactation consultant, a La Leche League leader, and/or doing some reading ahead of time are all suggestions I would make to moms who want to prepare for this potential challenge.
And, from a link from Woman to Woman Childbirth Education blog
, a blog post from the San Diego Birth Network on Cervical Scar Tissue – A Big Issue That No One Is Talking About
. This is an incredibly valuable post for professionals who work with women during pregnancy and childbirth, as well as for women themselves who may have scar tissue on their cervix, from cryo surgery or other surgeries.
The midwife proceeds to explain to my sister that she is going to try and massage the cervix and break the scar up. With some discomfort for my sister, she went from a finger tip dilated to 3 cms in a matter of minutes. An hour later she was 4 cms and an hour after that my nephew was born. Once the scar tissue had completely released, she flew to 10 cms.
As you can imagine, I asked that Midwife a ton of questions. I wanted to know all I could about this scar tissue stuff. Besides “massaging”, what can you do before hand? She shared her knowledge with me. Told me that HPV is so very common and more and more women are having these standard procedures done, but are never informed that it most likely will leave scar tissue. Although less common, this includes women who have ever had a D & C after a miscarriage or abortion.
Once I was armed with the knowledge, my successful VBAC rate shot up as did my vaginal birth rate in general. I would ask the question and if the answer was yes, I would tell them what I knew."
There is more useful information on the blog post, so I highly recommend clicking on the link and reading the whole post!
More links tomorrow! Christina
@ Birthing Your BabyIndependent Childbirth Classes for Central MaineMamas & Muffins: New Moms Group
Labels: birth, breastfeeding, choices, postpartum, pregnancy, resources