I would have said that the "erratic MER" we hear about with first-time moms
is not so much that they don't let down reliably for the baby, but rather
that they let down for all sorts of odd reasons. With my first I would let
down in grocery stores, just looking at all that food. It makes much more
sense to me that a first time mom's MER should be over-enthusiastic and
need to be toned down - much like her milk supply - than that it should be
under-enthusiastic and put her baby at risk before they even get started.
Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY