Dear Friends:
    Pam's record of her baby's intake and her  production is fascinating; 
thank you for sharing, Pam.
    I remember seeing a chart somewhere, long ago, that  showed a bell-curve 
distribution of 24-hour milk production: at one end was 350  cc and at the 
other was 900. The median was 750 cc. This was the range of normal  human milk 
production; and all the babies thrived. (I wish I could find this  chart again, 
because now I have more questions.) 
    However, if there are babies so tiny that they  don't even make it onto 
the growth charts (as with my neighbor's son, who  finally made it onto the 
charts at age 8), and babies that are huge and grow  quickly, it stands to reason 
that there would be variable ranges of  production.
    There has been talk in the past about women from  particular ethnic 
backgrounds making higher fat milk (for some reason, Lebanese  women come to mind 
here) or way too much milk  (I am remembering Anna  Utter's presentation at a 
private practice conference about her population of  central-European jewish). 
Humans are variable all over the globe, just as any  other species of 
mammal.......so I can accept that milk production is another  variable of human 
activity, probably genetically-influenced.
    What do you all think?
    warmly,
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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