"I don't know why some women "overproduce" but true overproduction must be extremely rare." Kathy, It may be, but you'd never know it by reading the lactnet. A while back I put out a query on this topic because I had a patient that was thinking of bottle feeding her third. Why? She had severe over-production problems with the other two and didn't think she could handle it this time. I put out that query at 9PM and by the time I got up at 6AM I had received 11 responses...many from Australia.....who knows why. Maybe just because they are awake when I sleep? Maybe they have a genetic predisposition? I don't want to guess. At any rate, responses and treatment varied from "don't express or pump" to "express for comfort".....to "wear nipple shields to decrease stimulation"...to "sage 1/4 tsp. every day as an herbal treatment" to "feed on one side at a time." Maybe it is not so rare but we tend to underplay its significance? There is certainly a body of work out there on colic in babies who deal with overproduction/ hyperactive letdown. Susan Keith-Hergert RN, MS, CPN, IBCLC Mercy Health Partners Cincinnati *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html