It is sort of interesting to describe low milk supply as "organ failure."  I
suppose you could call a need for eye glasses a kind of organ failure, but
on a continuum with blindness being the most extreme failure of function,
needing glasses is not typically described with that terminology.

The breasts are complicated.  We still haven't really mapped their geography
thoroughly, and don't really understand the hormonal physiology completely.
I have seen moms who had normal lactation with one infant and never made a
drop with baby #2.  I suspect (tho I didn't know about the mechanism then)
that these moms might have had a gestational ovarian theca lutein cyst that
inhibited lactation until it resolved.  Since they gave up long before that
would have likely happened (around 28 days pp) we'll never know.  I've seen
moms with infections not make much milk until they got better, moms with
twins make enough for 1 but not both (in spite of aggressive stimulation)
and moms with unusual looking breasts who made increasingly more milk with
each pregnancy.  These breasts worked, just not optimally and just not all
the time.

Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com
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