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Date: | Tue, 12 Jun 2007 19:31:21 -0400 |
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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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