Hi Jan,

Thanks for the comment. I am hoping to increase medical awareness of this issue- heart failure, kidney failure, these are aggressively treated conditions. And much $$ and research goes into their prevention. I am hoping that by equating lactation failure with organ failure, it will be able to get the attention it deserves. However, as it is not always outright failure, I include the term "dysfunction." My goal is to get standards in place to have women screened/diagnosed/treated as early as possible-- even before pregnancy or (maybe wishful thinking) during adolescence. I actually think dysfunction and failure take the onus off the woman and place it on the organ itself. Insufficient I think can convey undertones of inadequacy, which is not a desirable feeling during motherhood. I think by using a more clinical term, we can hopefully get the attention of the actual clinicians and FINALLY treat it like the serious, life-threatening medical condition that it is. 

I think of MODF as the umbrella under which IGT falls. All women with IGT have MODF but not all women with MODF have IGT. 

Alexandra Walker, BSN, RN, IBCLC, RLC
www.bcclactation.com

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