I agree with Cathy's approach. As we all the info we give, this needs to be given in a thoughtful, honest, sensitive manner. Honestly, we can say that a woman's particular situation may or may not impact her ablillity to totally supply her baby with milk. Helping women get to an optimal place in their breastfeeding. This may be nurturing at the breast , feeds at bottle. I had a wonderful mother who had little to no milk. She produced maybe 2-3oz all day whether she pumped, breasfed and started out with doing everything. Very, very motivated. She "hordorve" fed both her children by putting them to the breast while the formula was warming. Mother loved nurturing at the breast. Her first child did this for 1 year and her second child is still doing this. It took us time and support to get to this point. At first, the mother was upset that she did not make milk (older mom wilth many hormonal issues). She was pleased with what she did and I was extremely proud of her and told her so. Another mom, had the worse looking breasts for milk production I had ever seen. One breast was totally non developed, no breast tissue what so ever and a very small nipple bud, no areola. The other breast was utter shaped and so far from the midline that it was almost under her arm. She was trying to breastfeed and had the baby on 24,7. (Literally all the time.) The baby was crying constantly, poorly wetting, barely stooling and not gaining. The doctor was frantic but trying to be supportive. He thouht that breastfeeding more would help. How do you do more that constantly? Baby transferred nothing during my visit. This mother was very releived when I explained that glandular tissue or lack of it was the cause. She said something like: " I am so relieved that it isn't just something I was doing wrong, or that the problem wasn't from a lack of trying." Her doula cousin was upset with me for telling her a reason why milk production was probably not going to happen. But the mother was VERY appreciative. She sent me a lovely note and went on to mother her now thriving abiet formula fed baby. The more we do this , the more we need to realize that mother nature isn't alwys totally fair. We need to get to the next best thing and remember that mothering is more than just feeding. Ann Anderson, RN,IBCLC > -----Original Message----- > From: Lactation Information and Discussion > [mailto:[log in to unmask]] On Behalf Of LACTNET automatic > digest system > Sent: Tuesday, July 17, 2007 12:00 AM > To: [log in to unmask] > Subject: LACTNET Digest - 16 Jul 2007 (#2007-558) > > << Message: LACTNET Digest - 16 Jul 2007 (#2007-558) (1.46 KB) >> << > Message: how can we quantify milk volumes to a standard? (1.21 KB) >> << > Message: little to no milk (2.12 KB) >> << Message: Interesting case > (long) and how much milk a baby needs (1.01 KB) >> << Message: > domperidone, goats rue (695 bytes) >> << Message: little to no milk > (1.51 KB) >> << Message: Interesting case (long) and how much milk a > baby needs (1.45 KB) >> << Message: little to no milk (2.10 KB) >> *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]