It may well be that the piercing has allowed for faster flow of milk, but I 
doubt it *caused* an overactive milk ejection reflex.  This mom might 
benefit from positioning that keeps baby "up and over" the breast, so milk 
has to "fight gravity."  Other tips: A nipple shield may contain the flow a 
bit.  Mom can pop baby off during the first forceul let-down.  Mom can 
depress her breast near the areola when the first fast flow occurs.


Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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