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Sat, 19 Nov 2005 08:58:18 EST |
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Okay, I am studying to retake the exam for my 10 yr anniversary....I am
calling it a celebration. Haha. I know Hartman's research, heck, I bared a
breast on stage just to see for myself. But, still no matter how hard I try to
just accept it is so because Hartman says so, I am bugged a bit by the idea
that supply is set at 1 mo, and stays set through 6 months. It seems to me that
we can 'increase a supply' after one month. If we can't, then if a mom
comes to us with her 6 week old and a low milk supply, why are we bothering to
do anything at all? If in fact whatever her supply happens to be is what it
is and it won't increase, why bother adding more expressing/nursing/herbs etc.
Then there is the information that a mom can express or feed only 6 times a
day (from Breastfeeding and Human Lactation) without impacting supply once
the supply is established. This doesn't seem to fit with what I 'see in real
life' and it really doesn't jive with the reality of the baby's capacity to
hold an amount of milk just because a breast can make it and store it. Which
would mean a mom only feeding 6 times a day could easily end up with a lower
supply and a slow gaining baby. Then there is the 'after solids milk supply
diminishes'. If a baby is to be breastfed with solids 'complimenting' not
replacing breastmilk for the first year, it seems to me the amount of
breastmilk should not decrease simply because mother is offering solids. If in fact
the volume is the volume, and the number of times a baby needs to remove milk
to maintain the full supply is as low as 6, why is it assumed the supply
diminishes? And does it really diminish for all women or only those who use
solid foods to replace a breastfeeding as opposed to complimenting? Which still
takes me back to the notion that supply is set at 1 month. I know of far too
many women who have brought their supply up well after one month, far too
many women who have had a sick 2 year old bring them back to engorgement and a
full supply of milk. Why is that we have all this 'evidence' and 'research'
that doesn't seem to fit with experience?
I have to say this....taking the test the first time was soooooo much
easier! I knew only what I knew, what I studied, what I learned at conferences,
what I read, etc. I didn't have 10 years of practical use of the information
to have to try to ignore as I answer questions based on 'evidence' and
'research' that do not match up to reality of my experience with breastfeeding
dyads.
I know whatever answers there are will only add to my questioning. Haha.
Just wanted to
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