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Subject:
From:
"Kermaline J. Cotterman" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 13 Jun 2001 10:08:38 -0400
Content-Type:
text/plain
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Tony,

You asked for suggestions about oversupply. Others will address the
herbal questions.

Just by your description < Her baby gulps, chokes and pulls off from the
breast and
then becomes angry about being sprayed by milk.>
I wonder if any of these have been tried?

* Distinctly antigravity positions, so the milk must rise more like a
drinking fountain than descend like Niagra Falls

* Hand-triggering MER by fingertip extraction of a few drops or gentle
tugging and twisting at the base of the nipple, massage etc. and then
waiting for 3 full minutes for it to complete the surge before latching
(Baby might require some time to lose any aversive habits.)

<This mom has tried nursing on one breast only at a feeding for two weeks
now.  Baby is thriving.>

I recently had a private exchange with Dr. Newman about this. I had been
going so far as to tell a mother that she might try to nurse 2 or 3
feedings, or even all feedings in 12 hours on the same breast, removing
only what was necessary (for comfort and prevention of plugged ducts)
from the other breast till the supply eventually backed down naturally.

He said that he has gone so far as telling mothers they might try nursing
on the same breast for all feedings in a 24 hour period (with the same
caveat)

I have had mothers who found this pattern effective within several days,
and certainly less than a week, and who can then return to some lesser
variation of it if they later find their supply "backed down" more than
they desire.

This has the added prompt benefit of a happier, less colicky, less gassy
baby, if those problems are present.

I favor this as first approach using nature herself to signal the breast
to slow production rather than what I fear sometimes reinforces our "pill
mentality."

Jean
****************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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