<Just wondering if you have any insight that might help....AND any polite = effective way to educate peds about the oversupply symptoms.> Jennifer, Out of curiosity, have you checked with the moms whether the hospital (or childbirth educator, or mother-in-law or other prenatal teacher) told them they *must* use both sides at a feeding, from the beginning? This was deeply ingrained starting 40+ years ago when <50 years ago, many U.S. hospitals were rigidly instructing "one breast at a feeding". Lots of well-meaning relatives "came up under that 'hafta use both breasts [equally each feeding]'system" "First breast first" pattern gives moms more leeway to let baby self regulate if mom is one of those whose anatomy sets her up to be a "milk goddess". Melissa Vickers article on this in a past Leaven is one very good reference. As an extension of that, we have had great success with advising moms to slowly extend the interval during which they use just the same breast. If it's done gradually, (to avoid plugged ducts, etc. ) many mothers reach a stage where they use one breast during all feeds for 12 hours and the other during the next 12 hours. Dr. Newman's book tell of one mother who gradually put herself on alternating breasts every 24 hours! Gonneke has another way, whereby she has them pump both breasts thoroughly, then start "fresh" (on creamy leftovers), if I remember correctly, using just one side at a feeding. Maybe that would be quicker and easier for peds to have these moms try. It's a good point that peds, as well as others in the instructional pipeline understands the phenomenon of "temporary lactose overload". Cluster feeding too, could be associated with "eventually getting down to the creamier milk". Dewey KG, Lonnerdal B.Infant Self-Regulation of Breast Milk Intake Acta Paediatr Scand 75:893-898, 1986 Focus on infant, no mention of maternal discomfort, etc. Due to my underdeveloped filing system I'm not certain whether this is the article I want to recommend or whether there is a newer one in the same publication that discusses research on having some mothers use one breast at a feeding in the hospital, versus others instructed to use both. Good to be back on LN. Jean ******************* K. Jean Cotterman RNC, RLC, IBCLC Dayton OH USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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