In a message dated 1/29/2006 6:13:10 PM Pacific Standard Time,  
[log in to unmask] writes:

"Yes--most of the time poor milk removal leads to low  supply...BUT

sometimes, if mom has a large storage capacity, and her  baby can take out 
SOME milk with a shallow latch, what she will learn is  that in order to get 
a feeding to last less than an hour she needs to  offer the baby both 
breasts.  So say the mom can "store" 6 oz at a  time in each breast, and 
optimally "should" be feeding 4 hours per  side...but she is feeding both 
sides every two hours in order to get her  baby fed, because he only gets 
what she "lets-down" into his  mouth."



This is particularly true of premature babies---having a mother with  
oversupply is a real advantage for a baby with a weaker suck or low stamina.  That's 
why we try to increase milk supply at the outset to higher than the baby  is 
going to need for a long time. This results in better intake and easier  feeds 
for the baby.  We have to watch carefully though,  because sometimes these 
small babies can't handle the fast flow and can  have episodes of oxygen 
desaturation and bradycardia. 
 
Kathy Boggs, RN, IBCLC 


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