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I absolutely agree. Can't tell you how many folks who call or come in with fussy gassy babies who are nursing one breast per feeding (first few weeks of life) to "make sure the baby gets the hind milk." Then they call in about 8 weeks because they "don't have enough." Get them back to nursing both breasts with mom reclined (and babies who don't have some other issue like tongue-tie, etc.) and things generally right themselves shortly. I think it's interesting how we are so quick to "latch on" to an idea without discrimination or evidence-based (meaning using good tools to examine the evidence) analysis and instead use anecdotal evidence to validate. I read something recently that said when examining a theory there are 3 tests that should be applied - logical consistency, empirical adequacey (can be tested), and experiential relevance. I think this applies to anything we want to espouse!
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Saturday, November 12, 2011 7:36 AM
Subject: Hind milk
Nikki reports on the hind milk as good milk phenomenon....
I think this could be in
part because lactoengineering is used appropriately in NICU and been extrapolated to term infants.>>
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I think it is a result of nurses telling mothers to make sure they nurse long enough to get to the hind milk, and if they don't nurse long enough, it is possible the baby won't GET the hind milk. Hence you get the question in the hospital: "How long do I have to nurse before I get to the "good"
milk.
When I'm teaching, I tell the students that if there is one thing I could
get rid of, I would get rid of the whole hindmilk/foremilk discussion.
It's ALL good milk. And let the baby breastfeed. If we would just pay attention to our babies instead of the clocks and the sundials and the myriad of books out there....
Speaking of which, one of my favorite (not) books talked about -- get this
-- "Quencher milk, fore milk and hind milk". And it took 18 minutes to get to the hind milk. I nearly had a coronary when I read that one...
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
_www.lactationeducation.com_ (http://www.lactationeducation.com/)
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