I believe the IBCLC who posted is suspecting oversupply because that often
leads to explosive stools in babies.  Sometimes the stool leaves the baby so
forcefully that it causes little fissures in the baby's anus, hence the
bright red blood in baby's stool.  If the baby were bleeding higher up in
the GI tract, the blood in the stool would be much darker, almost black.

I agree with the IBCLC who thought pumping and giving bottles was possibly
adding more complications.  If you are treating for oversupply, however, it
wouldn't make any difference if the baby got its hindmilk all mixed in with
the foremilk or if it got the hindmilk near the end of the feed by breast. 
Based on the theory that the emptier breast gives higher fat milk, and
therefore the milk given early in the feed is lower in milk fat, it wouldn't
make any difference if the baby received its bit of fat early, middle, or
late in the feed.  It's better to focus on downregulating the mom's milk
supply than pumping and feeding EBM, unless you're planning some
"lactoengineering" by skimming off the fat from the EBM and feeding that
specifically.

Having the mom keep the baby on one breast for a number of feeds is a good
strategy to give the baby time to eventually feed from an emptier breast. 
However by having that mom pump the opposite breast, she's still sending the
signal to her brain that there is more milk needed, perhaps even more than
before she started this regime.  By allowing the "resting" breast to keep
that milk, the FIL will tell the brain that the milk wasn't needed and to
make less milk next time.  By downregulating her milk supply in this way,
the baby has more opportunities to access the fattier milk as the breast
empties.

HTH,

Debbie Gillespie, LLLL, rookie IBCLC

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