HI everyone,
 
PTP:  I saw today a healthy breastfeeding dyad with a perplexing question.  The baby is 3months old.  History is significant for Augmentation.  Incision was under muscle and all has been going pretty well with just one nagging question/issue.  Mother reports that her right side has poor letdown.  If she starts feeding on that side, the baby is frustrated and won't nurse well.  If he starts on the left, his nursing stimulates good letdown (squirting milk) on the right.  Obviously she always begins on the left.  When pumping at work, double pumping works to promote simultaneous letdown and her supply is good.  Her reason for concern today is that she perceives that the supply on her left side is gradually going down since it is always the second breast offered.  It may, of course, mean nothing if she maintains good supply on the right.  But since I've never seen this before I thought I'd ask the collective brain to comment.

Mary Ryngaert, ARNP IBCLC
UF Center for Breastfeeding and Newborns

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