I ABSOLUTELY agree with this method.  I've found when folks with large supply do blocked feedings, the babies get MORE distressed because the more milk stored in the breast, the more forceful the let-down, the lower the fat levels (from re-absorption of fat?).  The best thing I've found is to have the mom take off a little (remember LaLecheLeague instructions to hand-express until "squirting" stops?), then nurse until baby slows down, repeat on the other side, and don't pump after.  

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Marie Davis
Sent: Monday, August 17, 2009 11:42 PM
Subject: Re: over supply

Haven't  touched bases  in quite some time.  Oversupply is still where I have concentrated most of my efforts.  I still haven't figured out if I will publish my data on oversupply in JHL yet. Not sure if I am ready to take that obligation on.
But I can share a few suggestions.
This problem is not all that unusual, many women with severe supply problems end up pumping and bottle feeding because their babies are so distressed at the breast. Especially when they are headed for the 2nd and 3rd phases, where the baby is beginning to refuse the breast. In addition to all the suggestions you've gotten so far--- This mom is going to have to "endure" some back pressure in the breasts to get the local mechanism's to kick in. Rather than space out her pumping sessions I would recommend that she pump as frequently as she did before she started to wean off the pump but to take less out.  
I usually have the moms decrease by 1 ounce every other day;  so if she is pumping 6 ounces at each session, she pumps only 5 at each session; in 2 days time decrease it to 4 ; and in 2 days decrease it to 3. If it is really bad you may want to consider decreasing by 1/2 ounce. Also try to get her to stop double pumping. She would have more control over how much she takes out that way (and won't get an oops with a double pump). It is about her comfort level and prevention of complications. My experience is that if they try to go too fast in weaning from the pump they start having complications. remind her that weaning is a process and it won't happen overnight.
If I can be of any assistance please feel free to email me.
Marie Davis RN IBCLC

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