Talking of the ethics of accepting donor milk from a mother who is expressing in excess reminded me of a current donor. She was initially donating over 4 litres a week as well as feeding her premature baby successfully, and she would sometimes contact me a day or two early so that I could bring her more jars as she had filled up what she had and was getting up at night to express down the sink for comfort. (This was all hand expression). With her first child, she had borrowed two toddlers in the family to help relieve the excess! I wondered if she should be tested for pituitary issues, and I have to admit... I was reluctant to suggest it too early because the milk bank certainly needed the milk. Bad, bad me. I am not sure at which stage milk production is "really too much" and indicates hyperprolactinemia. But while I was dithering, I noticed that her supply to us was decreasing steadily, and last week she only managed to 700 mls, and she said she will give us the last batch next week. So she has self-managed this problem in about 10 weeks. I followed up the baby closely all along, to make sure the growth was good and that she was able to cope with what I presumed was a strong flow, and she is doing well so far. Interestingly, this mother is on Metformin, and I heard Diana West's recent conference session on making more milk where this drug had been shown to be a potential way to increase supply. Not that one will be encouraging mothers to take the drug without the medical need for it. Best wishes Jacquie Nutt IBCLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome