Infant Insufficient Milk Syndrome Associated with Maternal Postpartum Hemorrhage

Willis, Claire E.; Livingstone, Verity

doi:10.1177/089033449501100218

Cited by 41 publications

(27 citation statements)

References 6 publications

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“…2010, Fenwick et al . 2013) and is also associated with shorter breastfeeding duration (Willis & Livingstone 1995, Smith 2007) and physical difficulties breastfeeding (Brown & Jordan 2013). Simultaneously, a difficult birth is associated with decreased maternal confidence (Taylor & Johnson 2013) and concern for infant growth and milk intake (Kendall‐Tackett 2014).…”

Section: Discussionmentioning

confidence: 99%

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Brown

Rance

Bennett

2015

Journal of Advanced Nursing

159

128

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AimsTo examine the relationship between specific reasons for stopping breastfeeding and depressive symptoms in the postnatal period.BackgroundDifficulty breastfeeding has been connected to postnatal depression although it is unclear whether difficulty breastfeeding precedes or succeeds a diagnosis. However, the concept of ‘breastfeeding difficulty’ is wide and includes biological, psychological and social factors.DesignA cross‐sectional self‐report survey.MethodsData were collected between December 2012 and February 2013. 217 women with an infant aged 0‐6 months who had started breastfeeding at birth but had stopped before 6 months old completed a questionnaire examining breastfeeding duration and reasons for stopping breastfeeding. They further completed a copy of the Edinburgh Postnatal Depression Scale.ResultsA short breastfeeding duration and multiple reasons for stopping breastfeeding were associated with higher depression score. However, in a regression analysis only the specific reasons of stopping breastfeeding for physical difficulty and pain remained predictive of depression score.ConclusionsUnderstanding women's specific reasons for stopping breastfeeding rather than breastfeeding duration is critical in understanding women's breastfeeding experience and providing women with emotional support. Issues with pain and physical breastfeeding were most indicative of postnatal depression in comparison to psychosocial reasons highlighting the importance of spending time with new mothers to help them with issues such as latch.

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Section: Discussionmentioning

confidence: 99%

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Brown

Rance

Bennett

2015

Journal of Advanced Nursing

159

128

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“…Postpartum hemorrhage is often cited as a potential cause of lactation failure. 17 The severe risk of maternal morbidity and mortality associated with advanced abdominal pregnancy is often to due significant hemorrhage secondary to the abnormal placentation that is present. Leaving the placenta in situ has been noted to decrease the need for blood transfusions 9 and is being promoted as a potential management option in appropriate patients.…”

Section: Discussionmentioning

confidence: 99%

Lactogenesis Failure Following Successful Delivery of Advanced Abdominal Pregnancy

Pieh-Holder

Scardo²,

Costello³

2012

Breastfeeding Medicine

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Abdominal pregnancy is a rare condition with significant risk of maternal and fetal morbidity and mortality. Because of the vascular involvement, the placenta is often left in situ. Prior reports have neglected to discuss the implications of leaving the placenta in situ on breastfeeding and lactation. We present a case of failure of lactogenesis II following the successful delivery of an advanced abdominal pregnancy in which the placenta was left in situ. This is the first report to discuss the effects on lactation of leaving the placenta in situ as a conservative management option in advanced abdominal pregnancy.

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“…In particular, the impact of PPH on breastfeeding success has received little attention. Women suffering a PPH may experience a transient hypotensive insult and pituitary ischaemia and/or infarction resulting in inhibition of the hormonal triggering of lactogenesis Stage II by prolactin [6]. In rare cases, women who bleed severely during childbirth may develop Sheehan's syndrome, or ischaemic necrosis of the pituitary gland, in particular of the anterior lobe, secondary to hypoperfusion [7-9].…”

Section: Introductionmentioning

confidence: 99%

Women's breastfeeding experiences following a significant primary postpartum haemorrhage: A multicentre cohort study

et al. 2010

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BackgroundPostpartum haemorrhage (PPH) is a significant and increasing contributor to maternal mortality and morbidity. Following a PPH, women may have difficulties initiating and sustaining breastfeeding, although little has been published on this issue. The aim of this study was to describe breastfeeding experiences in a cohort of women following a significant PPH.MethodsThis is a descriptive study based on quantitative and qualitative data collected via questionnaires completed in the first week postpartum and at two and four months postpartum, by 206 women participating in a multicentre study of women's experiences of a significant primary postpartum haemorrhage (blood loss of 1500 mL or more in the 24 hours following childbirth, and/or a peripartum fall in haemoglobin (Hb) concentration to 7g/dL or less, or of ≥ 4g/dL).ResultsAmong women with a significant PPH, 63% fully breastfed their babies from birth, whereas 85% said they had hoped to do so (p < 0.001). Only 52% of mothers who intended to either fully or partially breastfeed were able to give their baby the opportunity to suckle within an hour of the birth. Delays were longer in women with greater estimated blood loss and women with the longest delays in breastfeeding were less likely to initiate full breastfeeding. 70% of women with PPH of < 2000 mL were fully breastfeeding in the first postpartum week, whereas less than 50% of those with blood loss ≥ 3000 mL were able to do so. Overall, 58% of women with significant PPH were fully breastfeeding at two and 45% at four months postpartum.In qualitative data, three major themes were identified: 1) Difficulty initiating or sustaining breastfeeding, 2) Need for education and support; and 3) Emotional sequelae.ConclusionsFollowing a significant PPH, women with greater blood loss are less likely to initiate and sustain full breastfeeding and this may be related, in part, to delays in initial contact with their baby as a consequence of the PPH. These findings have implications for postnatal care as these women may require greater support, education and assistance in initiating and sustaining breastfeeding. In particular, enabling the opportunity for the newborn to suckle as soon as is practicable should be encouraged.

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Infant Insufficient Milk Syndrome Associated with Maternal Postpartum Hemorrhage

Cited by 41 publications

References 6 publications

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Lactogenesis Failure Following Successful Delivery of Advanced Abdominal Pregnancy

Women's breastfeeding experiences following a significant primary postpartum haemorrhage: A multicentre cohort study

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