Thanks! Amazing how powerful and persistent the 5% figure has been. 
Karleen Gribble
Australia
On 20/03/2013, at 3:20 PM, Diana Cassar-Uhl, IBCLC wrote:

> Hi Karleen,
> 
> I pasted the wrong citation for you. It should have been:
> 
> Neifert, M. R. (2001). Prevention of breastfeeding tragedies. Pediatric Clinics of North America, 48(2).
> 
> In it, she cites Neifert, DeMarzo, & Seacat (1990) for her 15% total, but goes on to *estimate* that "as many as 5% of women may have primary insufficient lactation because of anatomical breast variations or medical illness that make them unable to produce a full milk supply despite heroic efforts." She also lists retained placenta, breast surgery, inadequate mammary tissue, and previous breast radiation as part of that 5%.
> 
> She's not the first, but this 5% figure is in nearly everything of hers I've read over the last few months. 
> 
> --Diana Cassar-Uhl
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