This is really interesting that this information not to mention the numerous research pointing to the evidence of foremilk and hindmilk is  not being taught correctly or at all?  I know that breastmilk research changes and new information is brought to light from time to time.  However you can't deny this, you can see the changes in milk with your own eyes.  I am currently an LC student through UCSD and I can assure you all of our books talk about the composition changes in breastmilk including foremilk and hindmilk.  Hindmilk, which is obtianed farther into the breastfeeding, is also the fat-rich cream layer seen in stored breastmilk.  This cream layer can be especially calorie-dense with up to 28-30 calories more per once. This information is very important to know especially when dealing with a slow weight gaining baby.  These nurses need to acknowledge this does exist.  I suggest you take in some research that supports this and help educate them.

Good Luck,

Ana L.

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