Lynn
Could be oversupply that needs more time and longer interval to manage.
Since baby is calmer at nite, then maybe it is becoz of less breast fullness
(seems common in evenings/nites) with less forceful MER. Perhaps mom needs
to go 4 hrs or more (gradually) per breast.
Reflux could also be a problem. Have they tried the usual reflux measures
and even medication for baby.
What else is different in daytime? Too much distraction? A particular
vitamin pill mom takes in a.m.? Perhaps another food (if dairy elimination
did not make a difference) such as caffeine, citrus, soy, wheat, eggs? I'm
just throwing ideas out now.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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