Hi Christina,



I have a few different thoughts.



1) history of hyperemesis- all  3 pregnancies?  How quickly did her milk come in, and did she experience engorgement?



2) Thyroid function- any possibility of hyperthyroidism?



3) Choking and backing off the nipple is often due to the baby being unable to control milk flow- which can either be fast flow on mom's part or an infant suck issue on baby's part (TT included) or, worse, both.

 

4) if the breast is difficult to pump, is it also difficult for a baby to extract the milk?  Perhaps the breast is just difficult to get milk out of altogether?  I had a mother like that once, very long breasts. First baby she "didn't make enough" but the next baby she had learned how to compress and "wring" them out, and built up to a 40oz/day supply. She even tried swapping babies with a friend; her baby fed faster on the friend and the friend's baby fed slower on her. I was convinced there was an organic problem on her side.



~Lisa Marasco



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