Disruption of Lactogenesis by Retained Placental Fragments

M. Anderson, RN, BSN, IBCLC

1. 1. 139 Garfield Street, Haworth, NJ 07641, USA

Abstract

This case report describes a situation in which lack of milk production led the mother to seek help from a lactation consultant in private practice. Despite extensive breast stimulation with the baby at breast and mechanical breast expression, no milkwas produced. Retained placenta was suspected by the lactation consultant. The mother was later diagnosed with placenta increta. Only when this condition was diagnosed and resolved did milk onset occur. It is important to evaluate for retained placental fragments when lactation appears to be delayed.