<<In my prenatal classes and at the bedside, phone, whatever, I
don't actually
use the words "hindmilk" and "foremilk", but I DO address the issue
of
needing to let the baby decide when to come off, instead of
switching sides
by the clock.
>>
I will sometimes use the terms, sometimes not -depends upon the group or
person I'm counseling. The subject comes up most often for me when a mother
is concerned about whether the baby "needs" water. Then I'll discuss
foremilk/hindmilk.
<<This analogy also works to discuss varying lengths of feeds: some
meals you
want just a quick drink, others a nice-sized meal, & sometimes you
want
seconds on everything.>>
A meal-related analogy that I use when discussing length of feeds is to
compare different adult family members that naturally eat at different
paces. I'll use my dad & I as examples. Sit us both down to the same exact
meal at the same exact time and he'll be done in half the time as me. "It's
not the food's fault", I say, "that I eat more slowly than he does. Same
goes for breastfeeding: some babies will nurse longer, some shorter. Watch
the BABY."
Then they usually grasp quite well the notion that not all babies will nurse
for the same number of minutes, and that certain aspects of a child's
personality will play out during lactation. My own three each had their own
pattern of breastfeeding......
Regina Roig Lane BS IBCLC for Miami-Dade County WIC (who's slowest
nursling, to this very day 8 years later, still takes life at half the pace
her older brother does)
> -----Original Message-----
> From: [log in to unmask] [SMTP:[log in to unmask]]
> Sent: Tuesday, May 18, 1999 12:26 AM
> Subject: hindmilk/foremilk
>
> << what kind of emphasis this topic of fore and hindmilk is
> given in either direct teaching at the bedside, in prenatal breastfeeding
> classes, written info to mothers etc. in your place of work. >>
>
>
> The way I approach it is to describe a meal at the breast like a 5-course
> dinner: you start off with a glass of juice, work through the salad
> before
> you get to the meat & potatoes, and finish off with creme brulee! Then
> they
> understand when I describe clock-oriented feedings: if you switch after
> "x"
> number of minutes, the baby may only have just begun on the meat &
> potatoes,
> & you're switching him back to juice.
>
> This analogy also works to discuss varying lengths of feeds: some meals
> you
> want just a quick drink, others a nice-sized meal, & sometimes you want
> seconds on everything.
>
> I also mention that the "creme brulee" can get kind of thick, then suggest
> Jack's breast compression as a way of "serving up dessert".
>
> By the way, I've been nomail for several months, so let me quickly
> re-introduce myself: I'm a perinatal/womens health educator and LC for a
> tertiary care hospital here in St. Louis, certified as LC and
> Maternal-Newborn nurse. Also author of Mosby's Maternal-Newborn Patient
> Teaching Guides--to be released Thursday!!!! My most important job is as
> mother to 2 boys (9 & 14, both bf 18-30 months) and wife to 1 social
> worker.
> :-)
>
> Smiles,
>
> Carol Schlef, RNC, MSW, IBCLC
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