Susan wrote, "Laurie Nommson-Rivers has debunked the notion that 
diapers alone are sufficient for adequacy of intake. "

Oooh, pricking up ears..... I haven't heard of this - please can you 
tell me more?

Thanks

Pamela (who also agrees with what's been suggested for Lea's 
case.  When a baby flutter-sucks at the breast for long periods, 
appearing to be asleep, only to wake and be distressed when taken 
off, it's a sign that he's not taking enough milk.  Prolonging 
breastfeeding is wasting the baby's energy and wasting mom's time. 
Baby usually has high body tone, but conserves energy as much as 
possible by dozing at breast.  I'd recommend switch-nursing with 
compression for 20 mins max, then stop, feed supplements (hopefully 
EBM) and pump/express what the baby has left behind.  Should only 
take an hour.  Start again not more than two hours later.  This 
increases baby's intake, drains breasts really well, re-stimulating 
what sounds like a flagging supply.... and eventually it has a chance 
of coming right...of course baby may need ABM supplements too, but 
rule #1 is feed the baby ...)  

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