Join Date: Oct 2004
Location: live: on the edge
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I'm with crunchy mom above. One of my hats is a trained breastfeeding educator, but I've also nursed 6 kids (some longer than others).
for one thing, if he was getting too much foremilk his poop would be copious, gassy, green and frothy. "Not enough hindmilk" isn't "poopy rarely." Also low weight gain... that's hard to define because all babies gain at different weights. There is so much more to it.
I would NOT counsel you to let the toddler nurse first, nor to pump first. Just put the baby to the breast. Watch him for his cues, encourage him to nurse every 1 1/2 hours. Make sure you have a GOOD LATCH... I find that moms who have been nursing toddlers have sometimes forgotten how to position a newborn. Make sure you hold him close in to you. My favorite latch technique for the struggling baby:
Get him up and close
in, his bum under your arm, his back along your forearm and his head in
your hand, and hold your breast with the other hand. Touch your nipple to
the point right between his eyes at the bridge of his nose, and then as he
roots up to it, he should open REALLY wide and his tongue should
protrude-- just bring the nipple right down the bridge of his nose to his
mouth and bring him into the breast quickly. The nipple should be aiming
for the spot in the back of his mouth where the hard palate and soft
Use breast compression when he's on... watch him nurse, and listen for swallows. As soon as you see him change to a flutter suck, go in with breast compression-- basically you'll be hand expressing milk into his mouth. Get him swallowing again.
Here are some little known facts about foremilk and hindmilk:
1. "Foremilk" is the hindmilk left over in the breast from the previous feeding, but enzymes have worked on it to break up the fat (so the fat can't coagulate and clog the ducts) and concentrate the proteins and immune factors and water the milk down a little. Foremilk has more sugar, protein and immune factors than hindmilk.
2. Foremilk "switches" to hind milk within 30 seconds of the start of a feed, generally. Of course the longer the feed, the more changes to the composition of the milk, to suit the baby's nutritional needs based on his own choice of sucking pattern. IOW, your body can "read" his nursing habit and the milk will change to suit his habit so that he gets the nutrition he needs.
3. Generally, babies who nurse for shorter periods of time more often will gain weight faster and mom have more milk than babies who nurse for extended periods less often. (I have lost my reference for this. I am working on getting all these references back in a handy place.)