I myself have seen over and over the number of mothers with high
productions using shells in the early weeks.   I'm wondering if anyone
has observed this phenomenon in a mom 7 to 8 months out who is back to
work, BF 2-3 times /24hours and pumping 2 to 3 times a day and her
supply is not keeping up to baby's demand (with adjustments made to over
feeding and wasting)?  I wonder if too much involution has occurred
would it help increase the volume?
Ann Cagigas RN, IBCLC
EPA HQ Program Manager

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