Hi Virginia,
I would be thinking something the mother is consuming, this could be a
food, drink, additive, or tobacco use for example.
If overactive letdown was the cause then the baby would not have this
symptom after ebm via bottle, I wouldn't think.
I've had a couple interesting cases over the years, one where a mother
consumed large amounts of "espresso coffee" as I recall, and another where
the mother admitted to eating basically only candy all day. The candy in
question was "sour gummy candy" or something. She was not eating real food,
basically.
Laurie Wheeler RN MN IBCLC
Mississippi Gulf Coast, USA

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