I was contacted by a mother with a problem with overabundant milk  
supply and strong milk ejection reflex.. Her daughter seemed scared  
for the milk ejection reflex and the mother had some problems for her  
to latch on. I wrote about the method Full drainage and block feeding  
method i n Amningsnytt a couple of years ago and sent the article to  
the mother as it didn't seem to help her merely to instruct her to  
feed at one side at the time.

Now the mother contacted me and said she gave it a try yesterday. She  
pumped both breasts (right side 100 ml, left side 50 ml) and then fed  
her daughter on the right one. The daughter fell asleep and slept for  
an unusual long time. Then she kept on feeding on the right side  
yesterday, and then apparently didn't feed during the night. When she  
woke up this morning her left breasst was really really hard and the  
problem had rather gotten worse. She didn't sound happy at all as she  
rang.

So please help me. What shall I advise her to do next?

The daughters' weight gain, stools etc have been without problems but  
she is fussy during feedings and also sslept for longer intervals  
when she got fatter milk. Mum tried nipple shield earier and doubted  
that would help to slow down the milk flow.

Marit Olanders
bf counsellor in Amningshjälpen and editor of Amningsnytt

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