>Wolf, Jackie" <[log in to unmask]> posted:
>One of my third year medical students just asked me if I know of any journal
>articles that document the percentage of true breast milk insufficiency vs.
>perceived milk insufficiency in the United States. Are any of you aware of
>any articles that document this? I know true milk insufficiency is extremely
>rare and that is what I teach the students at my medical school, but are
>there published studies that back up this claim? I am always encouraged when
>medical students have questions like this for me and would like to get her a
>solid answer. Apparently she has been discussing this with a doctor in the
>field and he doubts her claim. Thanks. I'm hoping your collective knowledge
>will provide the answer to this one.

I can only think of one off-hand, and that's by Marianne R. Neifert;
"Prevention of Breastfeeding Tragedies," Pediatric Clinics of North America
48(2): 273-97, April 2001. It doesn't go into a lot of detail about the
numbers, but cites a study in which 15% of primips had insufficient
lactation at 2-3 weeks postpartum. Of these women, insufficiency was
secondary to problems such as poor latch and inappropriate scheduling in
two-thirds. In one-third of the cases, there was a primary problem such as
maternal illness or previous breast damage (e.g., through surgery).

regards,
Julia

Julia R. Barrett
Freelance Science Writer
Madison, Wisconsin
608-238-8409; [log in to unmask]

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