Foremilk Hindmilk Imbalance
imbalance is one of the most common breastfeeding problems, and usually
occurs due to incorrect information and misconceptions about how breastfeeding works.
Colostrum is produced for only a few days before and after giving birth. It is the clear liquid that is very rich in nutrients and antibodies.
Read more about colostrum and its benefits.
What is Foremilk?
Foremilk is the milk that lies in
the front of your breast's milk producing cells (alveoli); this is the first milk that your little one drinks during a
breastfeeding session. This milk is watery when compared to hind milk and
is usually bluish in color. Foremilk is also abundant in carbohydrates,
protein and vitamins.
What is Hindmilk?
Hindmilk is the milk further back in your breast's milk producing cells (alveoli). It is calorie loaded and has a much higher fat percentage. It also looks thicker and darker in color.
So, Why this Difference in Milk?
milk is produced, it passes the alveoli (milk producing cells). Most of
the fat in the milk then sticks to the back and sides of the alveoli (the fatty hindmilk), while the rest of the milk collects in the front of the alveoli (less fatty
So, the fat gets stuck further back in
the breast's alveoli, and this is what causes the large difference between the milk
at the beginning of a feed and the milk at the end. The fat content in the milk
increases gradually during a feed as the fat globules are released from
The longer Mom waits between feedings, the more
foremilk is allowed to collect and the longer it will take before Baby
receives the hindmilk.
The high lactose level found in the
foremilk is important for energy and brain development and also
quenches Baby’s thirst. The hind milk is important for growth and helps
Baby feel full.
Foremilk hindmilk imbalance
~ Interesting Fact ~
The less breast milk a Mom has in her breast, the higher the fat content will be.
What is a Foremilk Hindmilk Imbalance?
happens when a mother allows her baby to breastfeed for only for a few minutes on
each side. This results in her baby filling up exclusively on foremilk which provides an oversupply of lactose. This, in turn, causes gassiness and foamy
green, explosive stools.
It is so important that Mom allows Baby to drink from one breast until it "seems" empty (breasts
are never completely empty because they are constantly producing milk) before
offering the other breast. This will ensure that Baby receives the foremilk
and hindmilk. The hindmilk will fill Baby more and decrease colic
symptoms and explosive stools.
Sometimes Mom might have an
oversupply of foremilk which will also result in a foremilk imbalance
problem. What causes this? Not allowing
Baby to finish one breast at a time.
How can you fix this? Do not allow Baby to comfort feed if you already have an oversupply of milk (flutter sucking usually indicates comfort sucking).
Foremilk Hindmilk Imbalance Symptoms
* Green frothy explosive stools.
* Baby spits up a lot.
* Colic symptoms.
* Baby wanting to breastfeed all the time; not becoming satisfied.
* Blood in stools.
* Slow weight gain.
* Diaper rash due to acidic stools.
* Baby has a bowel movement immediately after a feeding.
The Causes of a Hindmilk Foremilk Imbalance
* Oversupply (read more on how to handle oversupply).
* Nursing for short, frequent feedings.
How to Prevent or Stop a Foremilk Hindmilk Imbalance
* To prevent this, Moms should breastfeed only from one breast with each breastfeeding session. If the other breast becomes a bit engorged (overfull), Mom can express some of the milk until her breast feels less full and tight.
* To remedy the imbalance, Mom can breastfeed from each side for a separate 12 to 24 hours. (To prevent engorgement you can express some milk).
* How to reduce breast milk supply: If Mom has an oversupply, she can try reducing milk supply by drinking Sage tea or using cabbage leaves.
* Sometimes, an oversupply is accompanied by a forceful letdown. (Read more on overactive and underactive milk let down here).
Lovely Video that explains Foremilk/Hindmilk
Other pages on “breastfeeding problems” in connection with foremilk hindmilk imbalance
- Lactose intolerance in the breastfed baby
- Breastfeeding on demand
- Breast engorgement
- Overabundant milk supply
- Breastfeeding overfeeding
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Thank you so much Not rated yet
Wow..thank you so much for this helpful info...feeling relieved and informed..
mother of twins with low supply Not rated yet
I have been taking fenugreek 2 capsules 3 times a day and eating oatmeal and I'm drinking a lot of liquids and healthy food and now I'm gonna start with …
Mommy of 4 breastfed daughters! :) Not rated yet
Awesome information I had no idea about! Has really helped me make sense out of a lot of things with our latest daughters feeding. Thanks a bunch! =)
oversupply and feeding the baby foremilk Not rated yet
This is amazing information, am well informed now, I didn't even know I had an oversupply and feeding the baby foremilk until I read your article. My …
At last I have found answers Not rated yet
Hi, my son was premature. As everyone knows, breast is best and therefore this is what I needed to do, to give him the best start.
He was in the hospital …
Bloody mucus Not rated yet
My 4 week old boy has bloody stool with some brownish mucus mixed in. Kind of sounds like imbalance of breast milk. Should I be concerned? How can I help …
not nursing long enough to get Hindmilk? Not rated yet
My dd has green stools. It's not different in consistency or smell from the normal yellow seedy ebf stools, only green in color. I pump an hour before …
Thank you!!!!! Not rated yet
This is by far the best info that I have found to date! I am constantly searching the web so I can solve our orange, mucusy poop problem and get that …
Too much hind milk??? Not rated yet
Hi, your website is fantastic and I owe you my sanity!!
I have an issue though. My son is now 4 months old and I'm back at work this week. For a few …
Block nursing!! Not rated yet
Block nursing works! My 4 week old LO now nurses twice from the same breast. His stools has become yellow again (instead of green), his tummy hurts him …
Big help Not rated yet
The best web site! Thank you.
new mummy Not rated yet
ahh m feeling so relieved m gonna do what i read ...my son has same symptoms for 3 days n i was so worried he has yellow n green vinegary stools 3 to 4 …
This was AWESOME! Not rated yet
This was loaded w/ info and not a lengthy read! Quick and to the point and very detailed!! I found the info I wanted/needed, all my questions were answered …
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This article helped me so much. When my daughter was two weeks old, I talked to a nurse about how often and how much she was spitting up. Her advice was …
too much foremilk Not rated yet
i often know when piper is getting too much foremilk and not enough hindmilk when her stools are green and yes this is strange but they also smell vinegary.... …
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Site by BFeeding Mamma, Tracy Behr. Currently studying through Child birth International (CBC, CBD). Also an accomplished author and Mommy of two.