Lactation Following a Pregnancy Loss

 

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Melissa Cole explains in her article, Lactation after Perinatal, Neonatal, or Infant loss, that many grieving mothers have expressed their strong feelings about the lack of lactation support following the loss of their infant (Cole, 2012). Cole explained that the milk a mother produces after the loss of her infant has been referred to by some as “white tears.”. 10 Oct, 2018. Losing a baby any time after 16-18 weeks gestation may still lead to breast milk coming in to the breasts a few days later.

This is because the arrival of milk is driven by the drop in hormones following the delivery of the placenta—irrespective of whether a mother planned to breastfeed or not. neonatal, or infant loss. Currently, lactation care and advice after loss varies greatly.

Lactation consultants are instrumental in providing mothers with anticipatory guidance and evidence-based care. Implementing system-wide training and education regarding this topic will help families receive the information they need to deal with the physiological aftermath of infant loss. Lactation After Loss: A Guide for Bereaved Mothers from Empty Arms Bereavement Support Weaning after infant loss from Children’s Hospitals and Clinics, Minneapolis and St.

Paul, MN Lactation Suppression: Forgotten Aspect of Care for the Mother of a Dying Child by Debra Busta Moore and Anita Catlin, from Pediatric Nursing 2003, 29(5):383. Lactation After Loss: A Guide for Grieving Mothers 2 that may appear shiny or feel warm. Engorgement can also extend up into the armpit and out to the end of the nipple. Many mothers experience increased tenderness or throbbing and some develop a low grade fever (between 100101 degrees Fahrenheit).

Careful monitoring and management of iron and vitamin deficiencies are essential during pregnancy and the lactation periods for patients who previously underwent total gastrectomy. During the lactation period, a combination of formula and breastfeeding provides maternal and fetal nutritional support. Takeaway Lactation is common after a woman has given birth, and it can sometimes occur during pregnancy too.

However, it is possible for both women and men to produce a milky discharge from one or. The Newman-Goldfarb lactation protocols are designed mimic the hormonal changes in the body during pregnancy. After a period of time, the protocol is abruptly stopped. This sudden change in hormone levels, along with breast pumping, will encourage milk production. However, after an immediate postpartum weight loss of about 15 pounds (6.8 kilograms), weight loss tends to happen gradually — at about 1 to 2 pounds (0.45 to 0.9 kilogram) a month for the first six months after childbirth and more slowly after that point.

It often takes six to nine months to lose weight gained during pregnancy. Most women lose about 13 pounds (5.9 kilograms) during childbirth, including the weight of the baby, placenta and amniotic fluid. During the first week after delivery, you’ll lose additional weight as you shed retained fluids — but the fat stored during pregnancy won’t disappear on its own.

List of related literature:

Lactation after perinatal, neonatal, or infant loss.

“Maternity and Women's Health Care E-Book” by Deitra Leonard Lowdermilk, Shannon E. Perry, Mary Catherine Cashion, Kathryn Rhodes Alden
from Maternity and Women’s Health Care E-Book
by Deitra Leonard Lowdermilk, Shannon E. Perry, et. al.
Elsevier Health Sciences, 2014

With loss of the placenta, circulating levels of estrogen and progesterone decrease and levels of prolactin increase, thus initiating lactation in the postpartum woman.

“Lippincott Manual of Nursing Practice” by Sandra M. Nettina
from Lippincott Manual of Nursing Practice
by Sandra M. Nettina
Wolters Kluwer Health, 2013

For about the first six months of lactation, all women lose

“Breastfeeding Made Easy: A gift for life for you and your baby” by Carlos González
from Breastfeeding Made Easy: A gift for life for you and your baby
by Carlos González
Pinter & Martin Limited, 2014

Breastfeeding doesn’t harm a pregnancy; at birth, babies whose mothers nursed through a pregnancy are of similar size to babies whose mothers weaned before becoming pregnant.61 You may find that early pregnancy symptoms, especially sore nipples and fatigue, interfere with breastfeeding.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Pregnancy and lactation Beat D. Blood loss

“Synopsis of Medicine with question Bank & Mnemonics” by Dr Mujahid Beg, Dr K Chaudhry, Saksham Chaudhry
from Synopsis of Medicine with question Bank & Mnemonics
by Dr Mujahid Beg, Dr K Chaudhry, Saksham Chaudhry
Global Book Shop,

Breast-feeding releases the hormone oxytocin, which helps your uterus return to its normal size faster and also helps reduce blood loss after delivery.

“American Dietetic Association Complete Food and Nutrition Guide, Revised and Updated 4th Edition” by Roberta Larson Duyff
from American Dietetic Association Complete Food and Nutrition Guide, Revised and Updated 4th Edition
by Roberta Larson Duyff
HMH Books, 2012

Cole M. Lactation after perinatal, neonatal or infant loss.

“Breastfeeding and Human Lactation” by Karen Wambach, Jan Riordan
from Breastfeeding and Human Lactation
by Karen Wambach, Jan Riordan
Jones & Bartlett Learning, 2016

The sudden drop in these two hormones with the loss of the placenta at the end of pregnancy permits the onset of lactation.

“Biology: A Functional Approach” by M. B. V. Roberts
from Biology: A Functional Approach
by M. B. V. Roberts
Nelson, 1986

Both pregnancy and lactation cause reversible bone loss, and this loss is increased in women who breastfeed for longer intervals.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

Once pregnancy is completed, progesterone and estrogen levels drop and prolactin levels increase, resulting in lactation.

“The Nursing Mother's Companion” by Ruth A. Lawrence, Kathleen Huggins
from The Nursing Mother’s Companion
by Ruth A. Lawrence, Kathleen Huggins
Harvard Common Press, 2005

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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19 comments

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  • i have just done my first blog �� if yous want to have a look: me-you-999.simplesite.com
    i am open to any suggestions or help �� thank you

  • Hola Rawana Me ENCANTAN tus re eras. Donde consigues Los cocos con la carne. Como sedice esto en ingles? Gracias por el tiempo que Tomas en compartir..A mi tambien me facina la fruta.

  • I’m currently recovering from a miscarriage myself. Lovely lady, nice sharing her own story. Thank you and best wishes to you all going through this. Nobody deserves this <3

  • Miscarriage is such a hard thing to go through. I went through 3 miscarriages before i finally had a successful pregnancy. Im right about to have my son which is very exciting. I pray nobody has to feel the pain of loss back to back to back, let alone once. Everybody keep their heads up!! ��

  • The mini flat iron that is genius! I lost the majority of my hair about 2.5-3 months postpartum. It was so upsetting, but now I’m dealing with the regrowth.

  • Ive had 5 miscarriages before i had my rainbow baby last year and now im expecting my son in late December or early January which im excited about

  • My son just turned 1 yesterday, the thinning and shedding continues. I have had my thyroid checked. Dermatologists said I have subhoerric dermatitis, so I’m washing with a special shampoo, and using a ph balance shampoo. What more can be done. I miss my pregnant hair! Lol

  • I had a natural abortion 2 years ago and last year I got pregnant one year after and my baby is now 8 months �� I’m so thankful that u have my baby

  • Hey Dr. Dray! Thank you for posting this video! I stopped birth control and a few months after I started losing my hair. I am only 27 years old and I did have a biopsy done to confirm that it is indeed TE. Will the shedding ever come to an end? Is there anything I can do to balance out my hormones? Thanks so much!

  • PP hair loss is the worst. Mine peaked between 3-6 months. Love your lipstick in this video. What brand/shade are you wearing in this video?

  • Am I the only one who didn’t get beautiful hair while pregnant but STILL got pp hair loss? I have a bald spot on the right side of my face. With my first pregnancy it grew back quickly though. I hope this time does the same thing! I’m 5 weeks pp.

  • Oh the hair loss is REAL! I pull out clumps of hair every time I wash my hair. It’s started to grow back in the front, but it’s in that awkward “too long to be hidden but too short to lay down flat” phase. I legit have a tiara of short hair in the front when I tie it back ��

  • You handle this topic with such compassion and caring. I did not notice this kind of hair loss because I wear my hair short, which also makes life easier for a new mom. So worth considering.

  • I have had 2 babies and continued taking my prenatals at the direction of my doctor, and it made absolutely no difference in my hair loss:(

  • Thick hair while pregnant has nothing to do with vitamins. It’s all hormonal. When you have the baby your hormone levels drop so that is why you lose your hair.

  • Love the tips. I am seriously soooo sad about my appearance..the weight gain and damn it..now the hair loss. I got off my prenatals…and so I’ll go and buy some tomorrow. I also was wondering..this hair wow powder..isn’t that bad for your scalp long term? Doesn’t any of this cover up hair follicles and further prevent hair from growing? I would love to cover those spots I’m super insecure about them but i want the hair to grow back..so maybe put organic product??

  • We lost our first baby at 9 weeks last year right before Christmas. It was awful. I remember someone telling me their sister had a similar experience and that this Christmas they had a baby in their arms! I didn’t think it was possible.
    But just 6 weeks later I got another positive test…. and I’ll be having our rainbow baby any day now!
    It’s so so hard to get through but healing and happiness IS possible ❤️

  • I live in India and Care/Of does not work in India. I tried with the questionnaire list & got stuck in the “which state do you live in?” field. Sad!!

  • Wish I would have known about healthy smoothies when I was pregnant and then nursing.  I did drink fenugreek tea while I was nursing (a botanist/herbalist recommended it).  Pregnant and nursing mommies need to hydrate and take in a little more healthy fats than the average person and your recommendation is dead on! Looks yummy.