Maybe I am misunderstanding all of this... so someone please clarify.  
I recently went to a Lactation Educator course and the instructor (IBCLC) 
explained:

Feedings should be typically be 10-15/20 minutes.  Anything on either side 
of the time table should be a red flag.  If a baby is feeding beyond the 20 
minutes the babe should be taken off that side and placed onto the other 
side.  But once the baby has been on both sides, then the baby is taken off 
completely until next feed.  This is to promote better milk production 
(volume) and  bm with  a higher fat content.  It was discouraged for 
mothers to be feeding ad lib/demand.  It was taught not to let the babe 
feed from one side till finished and then offer the other side.  It was 
watch the clock for the red flags.

I am wondering how many other Lactation Educator/Specialist/etc. courses 
also teach this?

In our community, I regularly encounter mothers that have been told that 
after 10 minutes the babe will not be receiving anything and meanwhile mom 
will be getting sore.  So moms only feed 10/10 and typically every 3-4 
hours.

Typically right around the growth spurt mom starts to "freak out" cuz the 
babe wants to nurse all the time, and she feels she doesn't have enough 
milk production.

It is very rare that will encounter a mom that has been told to feed on 
demand, ad lib. Taking a look at the sources that moms have (the nurse, the 
doctor, Parents Magazine, websites), I found it was very common to nurse 
the clock.




Renee Palting, RN, IBCLC
Arizona

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