>Barbara Wilson Clay posted:
>
>I think that anyone with a large private practice sees a fair number of
>women with mysteriously low milk production.  It is easy to blame poor
>management or the mothers for not "trying hard enough" or holding their
>babies enough, or whatever.  I don't discount the effect of those things
>because I know that they occur, but the moms I see are usually very well
>motivated to breastfeed and want to succeed and do everything they can. Some
>of them still end up with strangely low production.  Sometimes we can find a
>reason, sometimes we can't.  I have no idea what the percentage is, but in
>my practice it is prob. skewed at a higher rate than would be seen in the
>general population.  I don't doubt that Dr. Neifert (who has a similar kind
>of practice) saw 5% of her patients presenting with this phenomenon.  That
>figure may not extrapolate out to the general population.

My impression is that she was using the 5% as an upper extreme and the
patient population was likely drawn from her own practice. I don't have the
article, but the citation is Neifert, MR et al., "The influence of breast
surgery, breast appearance, and pregnancy-induced breast changes on
lactation sufficiency as measured by infant weight gain," Birth 17:31-38,
1990. (This was a prospective study.)

regards,
Julia

Julia R. Barrett
Freelance Science Writer
Madison, Wisconsin
608-238-8409; [log in to unmask]

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