>I have a client who appears to have an adequate milk supply, based 
>on pumping, but the milk transfer with the infant at breast as 
>verified by an ac/pc weight is insufficient. The areolar tissue is 
>very soft, "mushy", loose areolar complex? Could this be 
>complicating the situation. Infant was full term, healthy, vigorous 
>at breast, oral anatomy not an issue. Any thoughts?


Karen, is there a reason why this baby has been weighed like this?

AC/PC weights are subject to error; in addition a single 'test 
weight' is no more than a 'snapshot' of what is happening at other 
times of the day and night. If there is no clinical reason to be 
concerned (vis a vis the baby's weight, health, development) then 
there is no reason to do a test weight.  Even then, you are still 
getting no more than a picture of *one* feed - I know some people use 
the test weight as part of a wider, clinical assessment and I can 
accept this can be justified  as long as they know what they're doing 
:) and can see it as only one part of the wider assessment.

The best way to assess supply is to assess the baby, in any case!

It does not matter if the mother has a 'poor' milk supply if it is 
adequate for the baby. By the same token, a gushing, generous milk 
supply is no use if the baby cannot transfer it.

Hope other people chip in!

Heather Welford Neil
NCT bfc, tutor, UK
-- 
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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