> I attended the BALA conference last year with Rebecca Glover.  She spoke
> long and extensively about her latch-on method, which I have found very
> helpful with many of our moms.  
> 
> One point she made was that using her technique seemed to help babies deal
> with moms with overactive milk ejection reflex or oversupply.  (Baby's head
> is tilted much further back than we usually see in videos.)
> 
> She also spoke for a short time (running late) on how she deals with
> oversupply - which is to use a good breast pump and TOTALLY and COMPLETELY
> "empty" the breast once - then use one breast per feeding from then on.
> With twins, I wonder if you would STILL use only one breast per feeding?
> She had found this was one way of getting the breasts to "reset" their
> production.  Of course this is NOT evidence-based - but it seems that you
> are past that and into the "try this" mode.  
> 


I'm wondering if we aren't getting into "apples vs. oranges" in this overall discussion. The initial post was about a mother of twins (MOT) who was increasing production via unnecessary pumping (due to two effective BF babies), which resulted in overproduction. 

I wonder if "natural" overproduction perhaps responds better to certain strategies, while this kind of pumping-induced "unnatural" overproduction responds better to others. I've had two "unnatural" overproducers lately -- 1 a MOT and 1 a mom of a singleton -- and severe engorgement, stasis and, in the case of the MOT, recurrent mastitis occurred every time they'd tried to cut out an entire pumping (and both were pumping "completely" more than once a day). Hence, the pumping just to comfort and then just to MER with gradual lengthening of time between sessions until each session is gradually cut out. 

I asked if cabbage compresses had been used not because of the overproduction itself but re: resulting milk stasis from cutting back on pumping frequently leading to some edema. 

I'd be concerned about applying any strategy (no matter how well it works with singletons) associated with long time between a breast being used when a mother already is producing for twice as many babies as usual who effectively BF. Would think assigning each a particular breast to regulate may be a somewhat "safer" first-try strategy.

Karen

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