Hi Jay
As the fat content varies in each breast from feed to feed, the concept of hindmilk and
foremilk is rather misleading. The fat content at the beginning of one feed can be higher
than at the end of other feeds in a 24 hour period.
Prof Peter Hartmann in sunny Perth (yes, we went swimming
today) has done much research into this subject. His two recent articles in Journal
of Human Lactation (March 1995) goes in to this in detail. The idea that the milk
'suddenly' changes from foremilk to hindmilk is not so. There are other reasons for
describing this concept to mothers eg the 'finish the first breast first' teachings
of Wooldridge and Fisher, but from a fat content point of view, there is no reason
to have to swap twins round each time to give each a 'go' at the fore or hind milk.

My good friend and fellow LC Cathy Fetherston also wrote a report in the April 1995
edition of Breastfeeding Review in which she describes twins fed from one breast only.
They required some artifical feeds for about 4 months, then were exclusively fed
until 8 months. At the time of the report, they were 13 months old and still feeding
about 6 times a day each. So yes, two into one does go.

Happy New Year

Fiona Coombes MBBS IBCLC
Perth Western Australia