>
>
>It is my hope that we will not doubt or undermine the observations of anyone
>in their various locales. Some areas really do have little true
>insufficiency, while other areas seem to exhibit more. The question to ask
>is not *if* it exists or *if* it is on the rise, but why--- which has become
>a major quest for me.
>
>~Lisa Marasco


Lisa, I was certainly not undermining anyone else's obervations in 
saying I found true physiological insufficiency of milk to be very 
rare indeed.....in fact, I also observed that I see, primarily, 
healthy mothers and babies, and one might expect different 
observations from mine with a clientele with many gynae-related 
clinical conditions.

Also, the birth and postnatal experience in the UK is far from ideal 
(very far), but when it comes to the very worst things related to 
breastfeeding, we  avoid them....for instance, we don't separate 
mothers and babies or supplement all or most,  or test them with 
glucose  drinks or heel-prick every baby, we don't have free formula, 
and midwives rather than doctors take the lead in care, and as these 
things are so crucial to early bf success, I think we are less likely 
to see early bf management producing insufficiency.

My main point is that 'insufficiency' is a spectrum, not a line.

Heather Welford Neil
NCT bfc, tutor, UK

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