In simple words: Agalactia means a mother's body doesn't produce enough breast milk after giving birth. This can happen for different reasons, and sometimes it means no milk is made at all.If this happens, the baby may need extra formula or other milk to get enough nutrition.

Agalactia, also known as lactation failure, refers to the complete absence or insufficient production of breast milk following childbirth.This condition can be primary (due to underlying medical conditions or anatomical issues) or secondary (due to insufficient milk removal from the breasts).It is distinct from delayed onset of lactation where milk production begins later than usual but is eventually sufficient.Agalactia can result in inadequate nutrition for the infant and may necessitate supplementary feeding.

Example 1: A 25-year-old primiparous woman presents 2 days postpartum with complaints of insufficient milk production. Physical exam reveals small, poorly developed breast tissue.Further investigation reveals primary lactation failure due to insufficient glandular tissue.Management includes supplemental feeding and lactation consultant referral., A 30-year-old multiparous woman presents 3 weeks postpartum with concerns about her milk supply.She reports infrequent breastfeeding sessions due to perceived insufficient milk production and infant fussiness. Assessment shows secondary lactation failure due to infrequent breast emptying.Management focuses on increasing the frequency and duration of breastfeeding, optimizing latch technique, and supportive counseling., A 35-year-old woman with a history of Sheehan's syndrome presents postpartum with complete absence of lactation.Agalactia is diagnosed based on her medical history and clinical examination. Management involves discussion of alternative feeding options and emotional support.

Detailed obstetrical history, including prenatal care, labor and delivery course, postpartum recovery, and any medical conditions.Record of breastfeeding attempts, including frequency, duration, infant latch, and maternal assessment of milk supply.Documentation of infant weight gain, feeding patterns, and hydration status.If indicated, results of any laboratory tests or imaging studies.

** Consideration should be given to differentiating between primary and secondary agalactia to ensure accurate coding.The use of galactogogues (medications to increase milk production) may or may not be documented.Be aware of the patient's emotional state, as lactation failure can lead to psychological distress.