Paula,
I disagree that hungry babies usually are suffering from excessive 
foremilk, but I can see that your suggestions will work for many dyads 
by increasing milk production by increasing breast emptying. I hesitate 
to make underfed babies work that hard, and would prefer to have mom 
express after feeding and feed that milk to baby as well.

One study found that infants whose mothers had higher creamatocrits at 
the end of the feeding were not those who were growing fastest, and 
concluded that it was milk volume that drove growth, not fat content of 
the milk.

Sadik Aksit, Nese Ozkayin, Suat Caglayan (2002)
Effect of sucking characteristics on breast milk creamatocrit
Paediatric and Perinatal Epidemiology 16 (4), 355–360.

I see rapid weight gain (3+ lb a month), fussiness, and often bloody 
stools in infants whose mothers have oversupply and are getting a 
lactose overload, even though Woolridge proposed that lactose overload 
could cause low weight gain.

Catherine Watson Genna, IBCLC  NYC

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