Hi Laura,
  I am an LC in private practice in Ottawa, Ontario Canada.  Our region
has 10,000 - 12, 000 births per year.  I have seen many women with one
breast larger than the other.  Some of these women have challenges getting
started with breastfeeding but many of them do not.  In my experience a
difference in breast size would not be a predictor of lactation problems,
and including it in prenatal screening may plant a seed of doubt in the
mother's mind about her ability to breastfeed.
  It is disappointing when someone you care about does not feel good about
her breastfeeding experience.  Allowing your colleague to talk and express
those frustrations will be helpful to her.
  Comments about the rigid tubing not being baby friendly suggests to me
that she may have had a gavage feeding tube device.  The commercial
supplementers have a very soft tube.
  I have a variety of supplementers available to my clients but I use as
few interventions as possible and do not introduce a supplementer unless
it is what is needed to get that baby to breast (or keep baby there!) It
is always a trade off between what is available to help and what the
mother can cope with.  It doesn't matter how good the supplementer is if
the mom does not have the resources left to deal with it.









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*  People who do not grow shrink.  Stretch yourself.      Anon. *
*  Lana Matthews IBCLC  ([log in to unmask])
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