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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 21 Sep 1996 00:37:00 GMT+0200
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Hear hear Linda!  Yes, I'm also convinced that it's DRAINAGE that drives
breastmilk supply.  Baby with a good suck will provide this.  Baby with poor
suck or becoming weak from not quite enough calories leaves milk behind,
which further suppresses milk-production, in a domino effect. (I get mother
to hand-express when the baby has fallen asleep at the breast - if this
results in long jets both she and I can see immediately that this baby is
not "draining" the breast well).   It's nice to see these babies at 7 - 10
days rather than 6 weeks, when it takes much longer to re-build the
breastmilk production.  Haven't read my Neifert and Neville for some time,
going to look this up again in the next few days.  Thanks!

Nancy, in adoptive nursing the stimulation of pumping and massage starts off
breastmilk production (prolactin release from nipple stimulation), but it is
frequent and efficient drainage of that tiny amount, and the next slightly
larger amount etc etc which causes ever-increasing breastmilk production.
Haven't got time to look up my references now, but have there has been quite
a lot written about gradually reducing prolactin levels as lactation
progresses and it is the removal of milk from the breasts which is
responsible for continued breastmilk synthesis.

Pamela, Zimbabwe.

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