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Date: | Sat, 15 Nov 2003 14:52:36 -0500 |
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I do agree with Pat Gima's caveat that babies who are dealing with
maternal oversupply are not relaxed at breast. I suspect it has more to
do with the terror of having to try to coordinate their breathing with
the fast flow than with foremilk/lactose overload in most cases, though
lactose overload certainly does occur. I've seen babies have difficulty
with flow when mom has a normal flow and baby has a tongue tie or a
respiratory malformation... Just more complications to add to the
little detective algorithm in our heads!
I do think that a reasonable oversupply in moms pumping for premies is a
wise precaution, but it is easy enough to start letting the supply
stabilize to the baby's needs as the baby is able to start taking the
breast. Again, many premies have immature ability to coordinate
swallowing and breathing, and that might make even a normal supply
difficult to handle initially.
Catherine Watson Genna, BS, IBCLC NYC
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