It is time to say it.  There are some women, not very many, who just
are incapable of producing enough milk.  Don't get me wrong, *most,
the vast majority* of "not enough milk" syndrome is due to the baby
not getting the milk that the mother has available, often with
decreased milk supply secondary to poor nursing (vicious circle).

This is something we as professionals who want to help mothers
breastfeed must accept.  But some breastmilk is better than none, and
breastmilk is *not* the same as breastfeeding.  I see some, not many,
women breastfeeding adopted babies and they often say something along
the lines of "I want to breastfeed my baby.  If he also gets
breastmilk, that's great".

By the way, I have seen more than a few mothers who had "No
Milk...sigh" on days 4 or 10 or even 28, who eventually do build up a
supply which is more than adequate.  So don't give up, get the best
possible latch, use breast compression and switching, use a
supplementer if necessary (not bottles) and hope for the best, and
help the mother accept what comes so that she can enjoy her baby and
breastfeeding.

Jack Newman, MD, FRCPC