I agree with Jean Cotterman's observations on breast storage capacity and
size, and I like the terminology in explaining to Moms. (Of course, I
frequently learn very useful and logical things from Jean's thoughtful
comments. :-) )

Jean Macomber, RN, IBCLC
Lactation Consultant
The Family Birth Place
St. Luke's Hospital
Jacksonville, Florida  32216
904-296-5212

> ----------
>
> But from my clinical observations, and I suppose, just logic, there are
> some ideas I have found valuable to some mothers.
>
> Generally speaking, it stands to reason that mothers with A and B, and
> even C cup sizes would have shorter "tubings" as I call them when talking
> to most moms.
>
> I reassure them that size has very little to do with total milk making
> ability, and that most mothers have plenty of milk making tissue.
>
> I seldom tell these moms anything about hind milk, because it seems to me
> that the force of the MER would have the effect of mixing the "cream"
> frequently and with more efficiency through shorter tubings, and that the
> baby's intake would be more blended, so to speak.
>
> However, mothers who normally wear D, DD, EE, and HH and beyond cup sizes
> often have use for this information about hind milk.
>
> I realize that cup size partly involves more fatty tissue in those
> breasts. But given the distance from palpable glandular tissue all the
> way down to the nipple, I cannot help but believe that those mothers have
> longer storage tubings. And I think that makes for the conditions Cathy
> described of fat (released from the glandular area by previous
> MER's)adsorbing to longer walls taking longer to re-mix in the tubings.
>
>
>

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