If you do a Google search for Marianne neifert lactation failure, you will find several things dating back to 1984 and/or 1986. And long ago when this came out (I think she published with Joy Seacat at first), I believe she acknowledged that her findings (x percentage) could be skewed because she was a resource for women having lactation problems. I didn’t have time to find the original article. I believe she was looking at women with breast hypoplasia, and she also writes about inverted nipples and other anatomical variations.
And she says, “These cases are presented to emphasize that primary causes of lactation failure do exist and to alert clinicians to the historical and physical findings suggestive of inadequate glandular tissue as an etiology of previously unexplained lactation failure. Preserving the "every woman can nurse" myth contributes to perpetuating a simplistic view of lactation and does a disservice to the small percentage of women with primary causes of unsuccessful lactation.”

Laurie Wheeler RN MN IBCLC
Mississippi Gulf Coast, USA 

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