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Subject:
From:
Rick Gagne & Elise Morse-Gagne <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 23 Jan 2003 09:59:36 -0500
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  Nikki Lee says,
"I am working with a mother who wanted my help because she feared her
baby wasn't getting enough hindmilk. (She was very attached to that idea,
and still, after 2 weeks has flashes of worry about it.)  The baby had
gained nearly 4 pounds over hospital discharge weight in 4 weeks."

Kathleen says "but she can stop worrying about hindmilk,
obviously."

I dunno.
My first baby gained at that same rate.  At 3 months he was 19 lbs (from 8
lbs 3 oz at birth).  (He ran it all back off by the time he hit
preschool).  I was nursing faithfully both sides and he nursed for 45-60
minutes at a time, very many times a day.  Seldom happy at the end, didn't
see much of the satiated "drunken sailor" look.  He had frequent wet green
poops, gas and fussiness etc.  I figured out not to eat onions and tried
other eliminations, but my diet wasn't the whole story. Even though some
descriptions of foremilk/hindmilk imbalance say the baby will not be
gaining well  (like BAB p281), I finally decided that oversupply was indeed
the problem.  Things basically settled down once I went to using one breast
for the morning, the other for the afternoon (both in the
evenings/nights).  I have spoken with other mothers whose babies are also
growing fast but show symptoms of lactose overload/low hindmilk intake.  I
believe that if the baby persists and nurses enough, and mom goes along
with that, the baby can gain like gangbusters, whether on the huge volumes
of foremilk alone, or by at least sometimes finally getting through all
that foremilk to the hindmilk.  Fatty milk is a more *efficient* source of
calories, but a high enough volume of foremilk will do it too.

Has this mother in fact tried putting the baby repeatedly to the same
breast?  What is making her worry about hindmilk intake?

Elise
LLLL, IBCLC
Bath, NH

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