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Date: | Wed, 6 Nov 1996 14:47:16 -0500 |
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Sunny California seems to be suffering from an epidemic of low milk supply
moms. I am beginning to feel there is some physiological process happening
that we have yet to document.
Standard wisdom in the clinic I work at is that milk supply will be
permanently impaired if breasts improperly stimulated in first 48-72 hours.
But I see plenty of exceptions to this rule. (Why do some mothers respond
to insufficient breast emptying with engorgement day 3 and others with
delayed and low lactogenesis?)
On the other hand I see moms who have no suspicious history, no birth trauma,
no health issues and who have managed breastfeeding in a textbook fashion
since hour 1 but make less than 10 oz q24h. No emotional issues either that
I can determine.
I, and others locally, are seeing enough of these women that we are going to
attempt to document them more formally as a group. There simply are too many
unexplained cases of low milk currently. Anybody else similarly frustrated?
Or is it something in the water locally?!
Joanna Koch, IBCLC in Los Altos, CA
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