Regarding Roberta's question of one breast feeding and reduced incident of
engorgement/plugged ducts....

I am finding from experience--not from any study that I can recall-- that
when milk is more throrughly moved through the breast every other time rather
than partially moved every time, that there are fewer "back-up" related
difficulties.  I suggest that am mother who is especially full on the
un-nursed breast gently express to comfort on that full breast on an
as-needed basis.  Her body will adapt rapidly.  Having a complete meal on one
breast seems to allow more complete flow and more comfortable result.

This is not engraved in stone.  There are cases for which I do suggest that a
mother offer both breasts.  But such instances are based on trying to remedy
a particular problem.

Pardee H. HInson, MPH, IBCLC
Charlotte, NC