----- Original Message -----
From: "gonneke van veldhuizen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, October 18, 2008 3:18 PM
Subject: Re: [LACTNET] Regeldagen :o)
> Hi Marianne,
**Hi Gonneke,
I think this is English language literature referred to as growth spurts.
**Thanks; I'll look it up.
> I do not think it is a truly fysiological phenomena. I see it most in
> mum-baby pairs were the Lactogenesis I and II are somewhat neglected by
> feeding in schedules rather than frequently on demand. This in my opinion
> does lead to inadequate activation of prolactin receptors and therefor to
> a always due to decrease milk production. At the other hand, if mom and
> baby are together from birth and baby nurses frequntly ad lib, there is no
> need for intermittent rebooting of milk mproduction.
**So, you mean that if babies were all fed ad lib, 'regeldagen' would not
exist...?
> The thought that was always expressed in lay breastfeeding literature
> about the ''regeldagen'' was that the baby was growing and thus needing
> more milk and by asking for more would get more. From the Hartmann et al
> studies we now know that the milkproduction and cosumption are fairly
> stable once lactation is well established at somewhere between 750 and
> 1000 ml a day, because the baby is growing, but needs less calories per
> kilo as he grows.
**Thank you; this was another question in the brochure I made a remark
about, but did not ask in my previous e-mail. Would be weird, somehow,
raising and raising and raising production with every growth spurt... ;o)
Does that mean, then, that baby just takes in more during a couple of days
and then production is back to what it was before? So it's not that baby, on
a structural basis, takes in more per feeding after the 'regeldagen', but
just eats more during a few days to make up for the 'deficit', caused by not
fully activating all the prolactin receptors...? Fascinating material...
It's in the Hale/Hartmann-book probably, right...? Gosh, I'm already swamped
in books! Why does noone ever sell additional time with it, when you buy a
book?!?! hahaha
Any more thoughts on the matter are welcome. Never too old to learn, right?
;o)
> Warmly,
>
> Gonneke, IBCLC, LLLL in southern Netherlands, back from a no-mail period
> for great conferences and winning the Dutch Breastfeeding Award 2008!
**Yep! Well, deserved, girl! Have a look here, wise ones:
http://www.borstvoeding.com/nieuwsberichten/bvprijs-2008.html#meer. The
second picture shows Gonneke with the other two nominees next to her. The
honour of photographing these ladies was mine. ;o)
Warmly,
Marianne
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