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Subject:
From:
Dee Kassing BS MLS IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 17 Feb 2004 10:35:05 EST
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<<[log in to unmask] writes:
When babies wait longer for feedings, the storage areas of the breast fill
more, which means there is more milk to "drown" the baby.
Dear Friends:
    Doesn't the work of Peter Hartman teach that when babies wait longer for
feeds, the milk fills the breast and the rate of milk synthesis decreases?
Peaker and Parker demonstrated that this is nature's dry up mechanism >>

Dear Nikki,
       Yes, I agree that Feedback Inhibitor of Lactation works to
*eventually* damp down the milk supply.  But until that system kicks in adequately,
lengthening the time between feeds allows the breasts to overfill.  I have seen
babies get so upset with the constant drowning that they refuse to come to
breast.  Some, we have been able to convince to try again, but a couple very
stubborn babies were just *done*, that's it, thank you very much!  We have to make
the babies more comfortable at breast, so they don't decide to refuse it
altogether.  So allowing baby to come to breast more frequently does make for less
milk in the storage areas, just like on growth spurt/frequency days.  (How many
of us have had moms call in a panic when that first growth spurt hits, because
baby wants to breastfeed all the time and mom's breasts are flabby and she's
sure "there's no milk in there", when in reality baby just hasn't given the
storage areas time to fill because he is constantly feeding?)  When we also
instruct mom to use one breast for all feedings in a 4 hr. (6 hr., 12 hr.,
whatever) time period, the baby *does* drown on the initial feeding when the switch
is made--until the FIL system has had an opportunity to work--but then the
other feedings on that same breast during that 4-hr time frame are less difficult
for the baby to handle, especially if we let him come to breast when he wants
to rather than holding him off.  Hopefully, when baby realizes that some of
his feedings are more comfortable than others, he will hang in there and keep
accepting the breast until the FIL system has had time to work and all the
feedings are more comfortable.
       Dee





Dee Kassing, BS, MLS, IBCLC
Collinsville, Illinois, in central USA

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