Subject: | |
From: | |
Reply To: | |
Date: | Thu, 9 Jun 2011 11:02:23 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Read Nancy Mohrbacher's article on the "Magic Number" in Clinical
Lactation volume 2 number 1. It is available online at
http://www.clinicallactation.org . (Those of you who are USLCA members
receive this new journal as a member benefit, others can subscribe).
Mothers vary in their milk storage capacity, and mothers with smaller
'warehouses' need to bf much more often to maintain milk production.
When a mother suddenly "runs out of milk" I generally plot a growth
chart for the baby (using the WHO charts) to help pinpoint when the
problem started. Almost always there was a gradual decline. This means
that the breast was not being emptied frequently enough or thoroughly
enough for a very long time before the irreversible stage of involution
was triggered.
The desire to "episode feed" at long intervals leads some moms to not be
able to make sufficient milk. I've had moms in my practice who could
only make 1 oz per hour with lots of stimulation, but their babies have
done well nursing every hour. Not every mother is willing to do this, of
course, but a surprising number are.
Catherine Watson Genna BS, IBCLC NYC cwgenna.com
On 6/2/2011 10:34 PM, Sima Leah Duato wrote:
> I, too, have worked with mothers whose milk did disappear at around 3-4 months. Nothing to indicate any mismanagement, we tried several galactogogues, super switch feeds and more often, pumping, etc. It seems to me that once the milk production is not being exclusively by hormones, and moves into the supply and demand phase, somehow production stops. Theses women have no indication of hypoplasia, at least that i understand. and their supply to begin with is small. these are mothers with several children and the pattern continues with each one.
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|