Women who experienced<unk>  OL reports the absence of typical<unk>  signs, including breast swelling, breast heaviness and sense of breast milk "coming in" within the first 72 hours postpartum; nevertheless, some reports suggest that the sensation of "milk coming in (to the breasts)" is resultant of milk production overshoot instead.198x198pxClinically, obstetricians may look for biomarkers to determine the<unk>  of<unk> . Some common biomarkers for the determination of secretory activation include: * A drop in progesterone levels; * Increase in blood flow, oxygen and glucose uptake; * A sharp increase in citrate and lactose concentration; * Plasma α-lactalbumin levels peak; and * Decreased breast milk sodium concentration. Note that<unk><unk>  of lactogenesis II is distinct from low milk supply, where there is a normal<unk>  of<unk> , but breast milk is produced in small and insufficient amounts.
Delayed onset of lactation
Low milk supply
Poor ovarian reserve
Lactational amenorrhea
Postpartum physiological changes
Obstetric transition
Premenstrual water retention
Primary ovarian insufficiency