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> but a lot of the nurses and midwives we met along the way felt no compunction in making my wife feel like a failure as a mother and human being because of this

That is absolutely horrible, sorry you had that experience.

My wife was in the same situation with our first, basically she anatomically did not have enough tissue to generate the volume of milk required. Luckily we were able to get donor milk and rely on this technology: http://www.lact-aid.com/. Amazingly she was able to build enough tissue so that by our 3rd kid we have not used any donor milk at all.




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