What Susan is talking about is that the breast usually makes more milk 
than the baby needs. So if one uses a really good pump afterward, or 
manually expresses, milk will come out, usually about 20% or 25% more 
that what the baby took.

We can use that understanding to figure out how effectively a baby is 
sucking (when we have cause for concern). If the baby takes out 1 oz, 
and the pump takes out 2 from the same breast right after, we know that 
baby has an effectiveness problem (if the baby was hungry and really 
trying to eat). If the baby takes out 1 oz and the mom pumps .1 oz, we 
know that baby did a really good job, and mom's supply is probably low.

My interest is reading all the research and extracting ways to make it 
work for us clinically, as shown above.

Catherine Watson Genna, BS, IBCLC   NYC

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