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Dr Carol's Advice
  Baby Photo
Foremilk/Hindmilk Imbalance
By: Carol Chamblin, DNP, APN, RN, IBCLC
 
Creamatocrit delivers laboratory tested, reliable and accurate measures of human milk lipid concentration and caloric density,kcals per liter, and fat grams per liter.
Designed for use in a NICU setting where accurate, real-time results impact important nutrition management decisions for vulnerable infants
In my opinion, there is too much talk on the internet about foremilk/hindmilk. Everyone swears they know their baby is not getting enough hindmilk. This is not a true fact.

You cannot time feedings at breast to determine whether or not your baby is getting enough hindmilk. There is not a switch that turns off foremilk and turns on hindmilk in a matter of a certain number of minutes into a breastfeeding. Breastfeeding should not be timed. You do not breastfeed for 15 minutes per side. This is absolutely wrong information!

Do you time your mealtime? How much did you eat for dinner last night? Was it based on time? I highly doubt it. Your meal intake is not based on time. For instance, you can eat a nice, romantic meal at a restaurant when you used to date your boyfriend and you were in no rush. The time spent out on your date could have been as long as an hour, but because you were self-conscious, you forked your food and hardly ate anything, right? Did time correlate with your meal intake at that time? No! But, what if you are starving now because you just had a baby and you don’t have much time on your hands. Heck, you can hardly get to the bathroom! You can eat the entire kitchen somedays! Yes, you can pack in the calories and amount of food servings that support perhaps 3000 calories in nutritional value in 5 minutes right now if you are starving! Consequently, why do we misjudge the feeding intakes of our infants by counting the minutes spent at the breast and falsely determining whether or not he or she got enough hindmilk? Stop it!

 
Only a creamatocrit Machine can determine your hindmilk of your breastmilk, and this is not necessary for healthy newborns. This machine is helpful for infants born premature and still in the Neonatal Intensive Care Unit. This machine works by taking a sample of breastmilk and spinning it down such as you would do with your blood to determine your hematocrit. You do not take your blood sample and view it with the naked eye and assume that your value is 6 or your value is 18. A value of 6 would mean you are anemic and may need a blood transfusion.

These decisions are not made as lightly as several new moms make the notion that their infant is not receiving enough hindmilk at breast. Then, women falsely begin to pump and only feed their infant expressed breastmilk in a bottle. Not a wise choice! Please, base your decisions and choices on accurate information instead of the false claims listed all over the internet. It’s a real shame when choices are falsely made from bad advise given on the internet.
 
Some symptoms conveyed that may be indicative of your baby not getting enough hindmilk can be the following: very gassy, irritable, lack of adequate weight gain (1/2 to 1 oz. per day in the 1st 3 months of life), green stools (which is often a late sign), and a previous incidence of a mom experiencing oversupply. How do you know you have a problem of oversupply? Typically, your baby gains over 1 lb. in the 1st month of life, and is gulping or choking at the breast, or pulling-off the breast constantly.
All of these problems are best handled by calling for an appointment with your Blue Cross/Blue Shield PPO insurance card available. Call: 630-292-4528 to schedule your appointment to resolve these problems. It is never too late to achieve resolution. Some moms come to me at 5-6 months of their infant’s age. But, the sooner the better to fix the problems and not procrastinate the problems. Take good care of yourself and your baby for your breastfeeding needs. Most breastfeeding-related problems are fixable when you see the lactation consultant expert.
 
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