Michele writes:

Baby  does tend to cluster feed 2-3 times a day with longer sleep stretches 
 between...would she be likely to do that with oversupply or have more 
spread  out feeds?
~~~ Ah if only things were simple: I am now telling moms, sadly there is no 
 natural law that says that if a mom/baby has one issue to deal with, they 
cannot  also have another one. Often multiple issues flow out of the same  
underlying issue as well.  A baby with a tongue function restriction may or  
may not have a mom with oversupply. Sometimes it just looks like oversupply 
or  forceful letdown, being normal but still hard for baby to negotiate, 
other times  there actually could be something else going on. Not written in 
stone, but when  a baby cluster feeds a bunch of times in the late 
afternoon/evening, I think  "probably normal" but if baby needs to do that multiple 
times and it seems to  get even more intense as the day goes on, I wonder about 
the fatigue or  agitation that can set in with tongue restrictions: over 
time baby may work  harder, and get less and less and at some point they have 
to nurse again and  again, and may get so tired/shut down, they take a very 
long stretch of sleep (  over 3 hours in the daytime.) Not sure if that 
resonates with what you are  seeing, but just a thought... I wonder if high 
volume, quickly delivered milk  rushes could also lead a baby to nurse briefly, 
then return to the breast again  over and over as well. Baby might have more 
sticky, smelly, dark green stools as  well? It might also depend on whether 
mom is switching sides each time, and how  close those clusters are?
 
Peace,
Judy 

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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