The foremilk/hindmilk story is a huge issue where I work.  Mothers ask me 
almost daily "how long must baby be on the breast to reach the hindmilk?"  I 
think that magazine articles and some breastfeeding books have 
oversimplified this issue.  There is a belief that the foremilk is not 
nutritious and therefore does not really count!  (Same with colostrum not 
being "real" milk!)  If the mother is encouraged to follow her baby's cues 
then this is rarely an issue. Ellen raises an interesting point - is it 
lactose overload caused by not enough fat slowing down the passage of milk 
through the gut, or is it excessive intake and not enough lactase to deal 
with the volume?   The result and subsequent management are the same.

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask]

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