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Date: | Wed, 7 Jan 2009 08:09:34 -0500 |
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Dear all:
I repeat what may have been missed in my post. What appears to be oversupply
sometimes is NOT oversupply. udy Fram also added the scenario of the faker to my
mention of the "start and stop" breasts where moms have smaller storage capacity but
larger ducts. Both of these are examples of women who have a forceful milk ejection
reflex who actually are not in oversupply. This view that any baby that is fussy and
gulping is getting too much is what leads to seeing many babies come into my group after
trying to correct what was never an oversupply to end up failing to thrive. So, I would
absolutely NOT want a label of "oversupply syndrome".
More appropriate is to assess milk transfer and HOW THE BABY feeds. If the baby needs
a second breast and mom is taught how to read those cues, it works far better than any
rule. If there is an initial oversupply, and it is tamped down, and mom knows how to read
that baby's cues, then the mom can switch breasts when it becomes appropriate rather
than continuing on some rigid schedule. Some mothers do need an initial plan --- but
working with them over time provides an opportunity to guide them into reading the
baby's feeding cues and giving her support for the more difficult challenge of reading the
cues of a baby that is fussier than average.
I still have not seen any convincing evidence on "lactose overload". So if there are
articles that go beyond "theorizing" this as a cause, then please post the actual
references so I may read them. What Cathy Genna posted was about 4 or 6 articles that
show that VOLUME is more important for growth than FAT content. Nancy Wight has
debunked the notion that premaure infants who have had inadequate time in utero need
more fat to compensate for lack of uterine time -- they need more minerals.
Moreover, crematocrits have the highest degree of "Undependability" of any indicator that
I can think of. Minute to minute, breast to breast, feed to feed you cannot predict from a
single or even multiple measurements of creamtocrit what the fat content will be. So, if
research shows that fat content is so extremely variable how can we ever possibly
Predict a pattern of eating for an infant to "optimize the fat". Unless you do a 24 hour
creamatocrit which would require pumping out all the milk ---- I defy anyone to say they
have a full picture of the fat content of the milk. And I would not recommend pumping
out all the milk for a fussy baby that is already having challenges at the breast. That can
sometimes lead to a complete and total nursing strike. I really think that the creamtocrit
is one tool that is only appropriate for research purposes.
Finally, much of the research on EFA deserves a highly critical eye due to the fact that the
vast majority of that research is funded by those who want all of us to be supplemented
from cradle to grave with DHA. No deficiency in DHA has ever been demonstrated ---
just normal variations among populations with different diets. Tinkering with DHA alone
without looking at the very important fact that fatty acids need to be in balance and that
balance is best achieved via food may actually backfire if we create imbalances in other
fatty acids. My sil was involved in a trial of DHA for older women and had to withdraw
due to side effects. She is but one of potentially many who were "excluded" from the
results of some of the industry trials. Really one of the most sickening sleight of hand
extrapolations from almost no evidence that I have ever seen was a video on DHA for
pregnant mothers.
In fact, I think the term SYNDROME itself is sloppy. It is a term that we use until we
identify the various different disorders that are occurring that are similar, but not the
same. SIDS is not a diagnosis --- it is lack of a diagnosis --- we don't know why the baby
died. When we know what happened it is "suffocation" or some other cause. Ditto for
"colic". I have never heard a more useless term. It is merely a baby that is crying a lot
and we don't know why. PCOS also is challenging.Eventually I hope we will find out which
part of PCOS is the part we need to pay attention to for milk supply since so many
women with PCOS actually have a perfectly fine supply and sometimes an oversupply.
Best, Susan Burger
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