Just a  quick question for your collective brains- Can MER create BF
difficulties (choking, etc) without oversupply?

Told mom I'm working with I'd ask even tho my recommendations to treat
oversupply are working, she initially wasn't convinced she had oversupply and
kept thinking it was just her MER. (Physiology has been explained and she
admitted she believes me now as baby is less fussy).

However, what I wonder is whether hormonally, oxytocin levels can be
particularly high or uptake receptors of oxytocin so sensitive that
contraction of alveoli is strong and regardless of milk volume available when
milk is ejected it is done so forcefully.
If this is the case, are there any particular treatments to counter this,
besides working on decreasing milk supply? (and the usual approaches that
accompany this).

Jean? Anyone?  Thank you.
Barbara Latterner, BSN, RN, IBCLC
Brewster, NY

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