In a message dated 2/17/2004 12:06:27 AM Eastern Standard Time,
[log in to unmask] writes:
Would it help if I pump a little before I put baby to breast to avoid
giving her too much foremilk and thus create a f/h milk imbalance??  I
should also try to feed a little less often, right (no less than 2 hours
between feedings)???
Dear Friends:
    Pumping or handexpressing the first letdown can increase baby's comfort
at breast. Another solution is to feed baby on one breast for two feeds in a
row, and used the increased pressure of milk in the breast to slow milk
production.
    As for foremilk/hindmilk imbalance, the work of Peter Hartmann and
Michael Woolridge has shown that babies regulate their own fat intake in 24 hours,
and that fat content in milk is connected to the interbout (or inter-feed)
interval.
    When rate of milk removal is low, the rate of milk synthesis slows. More
milk removed =  increased rate of milk synthesis. The baby should set the
feeding interval, which is dependent on storage capacity of the breast ( again,
according to Hartman's work), and try two feeds from one breast. The other side
will either leak or can have a small amount removed for comfort.
    I have a question. If a mother has lactose intolerance, what is the
impact of eating one yogurt a day? Does the fermentation of the yogurt eliminate
the symptoms of lactose intolerance?
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
Maternal-Child Adjunct Faculty Union Institute and University
Film Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative

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