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