It seems to me that the current research that supports breast emptying having a greater, more important role than we thought in the past has been very well done and compelling. I am all for revising our breastfeeding tactics to incorporate new, well-constructed, factual research. I have added more attention and suggestions to facilitate breast emptying to the mothers i work with from this important information. But I am not ready to throw away the idea that nipple stimulation plays a part as well. Perhaps this is naive and short sighted of me, but I cannot help having a feeling of similarity to the nature vs nurture debate. We have certainly learned that nature and nurture play a role in everything related to the human condition; sometimes it is more the nature side, sometimes more the nurture side. I will be interested to see that if in the future we revisit this idea of nipple stimulation as important to milk supply. After all, for all of the silimarities in physiology, every dyad is different. What is the solution for one breastfeeding pair, is not the solution for all mother's and babies. This is one one of the realities that makes this field so challenging and satisfying. Only time will tell:-) Charity M. Pitcher-Cooper BSN, RN aspiring IBCLC ...in a philisophical mood, having just finished "Our Babies, Ourselves" by Meredith Small this week. *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html