Dear Jean,
Thanks for your suggestions.  That really makes sense.  I wish I would have
figured that out!  I was hesitant to suggest that she nurse on one breast
due to the increased risk of breast cancer when one does that (wasn't there
a study to that effect not too long ago--I'll have to search the archives).
I hope this has saved this breastfeeding relationship.
Warmly,
Sharon Gollman
----- Original Message -----
From: "Kermaline J. Cotterman" <[log in to unmask]>
To: <[log in to unmask]>
Cc: <[log in to unmask]>
Sent: Thursday, September 27, 2001 1:25 PM
Subject: One side larger


> Sharon,
>
> It is just possible her milk sinuses are deeper on that side than the
> other, and neither the baby nor the pump has ever been adequately
> draining them, which has led to milk staying in the breast, which signals
> the breast not to produce at the same rate as the other, well-drained
> side.
>
> (You can test for the location of the milk sinuses by attempting the
> Marmet method of hand expression on the areola at 1 ", 1 1/2", 2", and 2
> 1/2", behind the base of the nipple. If you get squirts, or easy drops by
> compressing further away, you have your answer.)
>
> It then may help to substitute the largest (glass) flange Medela makes,
> as the pump flange she uses on the smaller side. The more thoroughly and
> frequently milk is removed, the sooner that side may build up its supply.
>
> Jean
> ********************
> K. Jean Cotterman RNC, IBCLC
> Dayton, Ohio USA

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