Milk coming in…or not getting out? Engorgement at day 3

Maureen MinchinMaternal Health

About milk coming in on day 3. A discussion in a closed group prompted this. People need to realise that milk coming in is a gradual process, from about 20-48 hours onwards, as progesterone levels drop and lactose synthesis revs up, and with it, an increase in milk supply. Stasis can occur when there is a combination of venous engorgement (from increased blood … Read More

Mastitis: old thoughts

Maureen MinchinMaternal Health

In 1985 I first argued, in Breastfeeding Matters: what we need to know about infant feeding, that mastitis is not (always) synonymous with breast infection, as was commonly said then.  This is by now accepted in the lactation consultant community. But a recent post in a mothers online group made me realise that the old idea is still alive and well, and probably doing … Read More

Are baby biotics bugging you?

Maureen MinchinMaternal Health, Milk Matters, Pregnancy

I was recently asked to comment on the use of probiotics and prebiotics preconceptionally, during pregnancy, while breastfeeding, and to the newborn. The questioner wanted to know which,  if  any, probiotics I recommend over others. What follows is adapted from my reply. Probiotics, probiotics and synbiotics are discussed in Milk matters at more length than I will do here. The deliberate … Read More

Embarrassing Bodies embarrasses themselves

Maureen MinchinMaternal Health

Imagine you meet a young woman who is embarrassed by the fact that one eye is brown and the other green, to the point where she has worn an eyeshade to conceal what she sees as the odd one. There are many solutions to this problem, beginning with discussion and reassurance that this abnormality is not all that abnormal. One … Read More