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Lactation Information and Discussion

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Subject:
From:
"Deborah L. Tobin, RN, BSN. IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 12 May 1997 09:57:18 -0400
Content-Type:
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In a message dated 4/27/97 12:01:49 AM, you wrote:
From:    Anne Clarke <[log in to unmask]>
Subject: Reflux
>>
(re-sending to correct spelling on subject line)

Thanks for this interesting info and statistics. So many moms in my mew mom's
group c/o baby spitting up or being "worked up" for reflux. In addition to
the recommendations cited in your post, a suggestion could be made to
increase hindmilk intake for the breastfed baby. This may include decreasing
foremilk intake, ie: pump off a little foremilk pre fdg, and increase fdg
duration on the first breast with massage towards the end of the fdg. This
can alleviate difficulties with an  overabundance of foremilk, and have a
similar effect as the recommendation to provide thickened fgds, as hindmilk
is thicker than foremilk. Makes sense to me anyway and fairly consistently
improves the situation. Does anyone know of anything in the literature
documenting the effect of hindmilk on reflux specifically ?

Deb in Springfield VA

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