Thank you for your wonderful reply Virginia! I agree, and I tried to tell
this mom more or less this (much less eloquently). She came in through a
support chat, so I am not her primary provider and she is convinced her
babies have an unusual amount of gas. She did an elimination diet with her
first, and was told this time to do the elimination diet BEFORE giving
birth (??). She's stressed and convinced she has a foremilk/hindmilk
imbalance, babies with sensitivities, and her baby is not latching now, AND
she's pumping for friends' babies??? It's a lot, but as we only have
"access" through a chat, I told her I would look into this supposed
"research" and get back to her. It looks like there is no such research to
be had.
Thanks again!
On Wed, Jan 16, 2019 at 5:23 AM Virginia Thorley <[log in to unmask]>
wrote:
> Therese, I'm not surprised you found nothing when checking out the
> anecdotal report recommending setting milk aside after pumping. Perhaps you
> could tactfully ask your informant to think about how mothers managed back
> in the days when direct, at-breastfeeding was the usual mode, and
> expressing or pumping was uncommon? Sometimes with a third-person report or
> advice received, I wonder how accurately it has been remembered.
>
> So often mothers and some of their advisers start worrying about foremilk
> and hindmilk - often unnecessarily. Most of the time the varying milk
> composition through the day will balance itself out, provided that mothers
> breastfeed without restricting the duration of the feed (or, if separated
> from the baby, express efficiently by hand or machine). I'm sure when
> you assess the individual mother-baby duo, you will provide guidance and
> reassurance, based on what you observe and your clinical judgment.
>
> While a few individual children may have temporary lactose overload or
> other situations, so often a focus on 'hindmilk' versus 'foremilk' results
> in unnecessary worry and attempts at manipulation.
> From time to time I see a mother who has become stressed about whether her
> baby is getting enough hindmilk - or she might even call it the 'good
> milk'. That's when I do some education about how babies need both, they
> are both good, how the composition fluctuates. Then I explain the role of
> lactose in infant nutrition, brain development and the complex
> anti-infective process. That infants need lactose. They not adults.
>
> Women's milk is such an amazing fluid. We keep learning so much more about
> it.
>
> Virginia Thorley, OAM, PhD, IBCLC, FILCA
> Ipswich, Queensland, Australia
>
>
>
--
Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
Nutrition and Wellness Consultant
Lactation Consultant
(315) 730-1858
[log in to unmask]
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