Joy says,
> I think this piece of information about the constancy of supply is
> very significant for mothers expressing their milk for their babies,
> eg while at work. There is the common expectation that they have to
> keep increasing he amount they express to keep up with their babies'
> increasing appetites. This shouldn't happen. Maybe the expectations
> of the carers are that the amount the child should eat increases and
> they are offered more and more over time.
>
>
I also wonder if babies take more from a bottle than they do from the breast,
and consistently increase how much they are taking -- even expressed
breastmilk.  I don't know....haven't followed enough mothers through their
working/pumping experience to know.

Also, this reinforces the fact that breastmilk does increase in calories over
time -- how babies can consistently take the same amount of milk from 1 to 6
months and gain wonderfully.  I know their energy needs decrease, but that
doesn't explain it all.....caloric value of milk must increase.  Susan
Carlson gave a lovely explanation of that at the 1992 ILCA conference, but I
haven't seen anything relative to that lately.  Most literature STILL says
that breastmilk (regardless of age of baby) seems to hover around 20
kcal/ounce.

Jan Barger, RN, MA, IBCLC -- Wheaton IL
Lactation Education Consultants
www.lactationeducationconsultants.com

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