I know you will get lots of info on some of the specific questions you asked,
Anne, but I feel moved to comment on one thing you said:  "Mom tells me her LC
says that if she can't pump 60CC
at every pumping (this is after feeding at breast w/SNS) by the end of this
week that she'll never be able to make enough milk to feed this baby."


I don't know what sort of study/rule of thumb/etc this is based on, but why oh
why is anyone wanting to create such a rule?

It sounds to me like someone fitting what (s)he has read or observed into a
model of production and output.  The same impulse gave us four-hourly feeding in
the 1920's and 30's.  It gave us restricting feeds to so many minutes a side in
the 70's and 80's.  It gave us weight charts, which, in the UK, are used and
absued to terrorise women into certain feeding patterns.

Breastfeeding is threatening to those of us born and socialised in modern modes
of thinking because this kind of measurement in ounces and ccs is often
irrelevant.

What if the mother consistently produced 59 cc of milk?  What if she
consistently produced 61cc?  Can we really believe that we could pronounce on
the failure or success of her ability to breastfeed her child on this basis?
What if she can produce the 60cc consistently after each feed, but only on day 8
or 9, rather than by the end of the week?

If this particular LC is god -- or has a graduate level degree in 'knowing the
unknowable', then perhaps (s)he has the right to make such a
statement (tho I guess I would still like to know about the basis for the
assertion) but, in the event that (s)he is mortal, I just do not understand the
basis for this statement.

Magda Sachs
Breastfeeding Supporter
The Breastfeeding Network, UK

PS If anyone knows where one can obtain a degree, or even a diploma in 'knowing
the unknowable' I would be interested.  It often seems to me a useful course of
study!!!

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