As a LLLLeader, I just saw a mom with Grade 3 inverted nipples (nipples did not evert with pumping) I have recently received **some** information that Grade 3 mom usually have an insufficient milk supply due to (at least in part) low prolactin levels (Aono et al., 1977) (I do not have access to this study.) Can someone explain what the process is. Is it just due to lack of nipple stimulation -- if so can't mom go on to a full supply as a pump dependent mom ? Or, is this a part of a larger phenomenon and the low prolactin and short ducts are just part of a larger picture. Thanks ! --k Kathy Koncelik, CPD Breastfeeding Support Counselor(LLLI) ------------------------------------- Treasurer Co-Founder Long Island Doula Assoc., Inc. A 501.c.3 Not-For-Profit Charitable Corporation 631.581.1066 *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome