Jan - how well you describe the on - off - on - off "squirmy" thing that
scheduled babies seem to do at about 3 1/2 - 4 months!  Yes! I've seen
babies do this.  Does this baby have a dummy (pacifier) a lot?  My
impression is that babies who are consistently made to wait just a bit too
long for breastfeeding, and who get used to a dummy for comfort-sucking,
become VERY difficult to breastfeed at about this age.  It's almost as if
they use the breast as a "cup" - JUST for "feeding" and not at all for
comfort.  Hence they spend short times at the breast and will only stay
attached when the milk is flowing fast, and wont stay on long enough to do
the chomp, chomp, chomp, chomp, swallow thing that babies who use the breast
for comfort do - thereby leading to inadequate drainage, and the slow spiral
down to Not Enough Milk!  You're probably right about the prolactin levels
too, although drainage is the main criterion during later lactation, isn't
it?  IF the mother can be persuaded to "wear" the baby for a time, and feed
every time s/he squeaks (for food AND comfort and any-old-time snackies,
even a minute or two very often, and GET RID OF the dummy! and sleep with
the baby - all the ideas you'd use for a potential nursing strike) then I've
found that (1) the baby can be coaxed back to using the breast for
comfort-sucking, (2) frequent drainage increases breastmilk production and
(3) the baby's rate of weight gain increases, a little the first week, a lot
the second week.  The crunch here is persuading the mother ....

A client has just lent me a book she says she can't follow.  It's called
"Baby-wise:  How 100 000 parents trained their babies to sleep through the
night the natural way."  By, guess who! Gary Ezzo and Robert Bucknam, M D.
I can't BELIEVE this has hit Zimbabwe!  This must be the author you've all
been talking about.  It's HORRENDOUS!! (Am I shouting?????)

Pamela, Zimbabwe (who is hanging in there!)