"I remember seeing photographs at a conference actually showing fat
droplets clinging to the duct walls before MER and then the same duct walls
cleared of the fat globules after MER.  It makes perfect physiological
sense."
In the Belgian organisation of health workers where I 'm employed, years
ago they organised a symposium about breastfeeding.   One of the speakers
used the oneliner "they grow best on second breast".  Still now this slogan
is used in the classes for new beginning health nurses.  The people who are
responsable for this curse are people who have no experience in bf-
counseling and -guiding.
I'm not happy with the use of this one-liner.  Too young mothers in our
hospitals still hear the advise they should start bf with a climbing scheme
(5' left, 5'right..).  The use of this slogan is again a rule about how
they should feed their baby, instead of feeding the baby on demand.  I'm
afraid some health nurses advise mothers to take the baby from the first
breast before he finished it, to offer the second one.
I asked where they found evicence for this slogan, but I still wait an
answer.  But they explained that this slogan was standing for the fact
that, while the baby is drinking at the first breast, the hind- and formilk
in the second breast are mixed already after MER.  So in the second breast,
they say, is never formilk anymore.
I think this could be true when a mother has obviously a MER at second
breast and she looses already a certain amount of milk.  If she doesn't
leak at second breast while baby drinks at first one, I can't imagine that
the milk in the breast is already mixed and the fat droplets came free.  I
think it needs a powerfull stream of milk, to  clear the duct walls from
fat (in case the periods between feedings were long enough to speak about
for- and hindmilk!).   Does anyone know where I can find something about
this subject or about this slogan?
Best regards from Belgium!
Christel Geebelen
health nurse and lc

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