As a participant at the ABM's 4th European regional Meeting organized in Trieste last May , I learned from dr. Micheal Woolridge's ultrasound presentation that infants *choose*whether extracting milk by vacuum vs peristaltic action even in the same breastfeed. The two patterns coexist, as Alice's experience shows clearly.
Silia Armeni
pediatrician, IBCLC
Rome
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