The coveted fat plug. If you've spent anytime in a pumping mom's Facebook group, you may have heard of this terms or you've seen the “fat plug trophy photo” in a post or two. This fat plug breast milk phenomenon happens when stored breast milk develops a cap of fat at the top of a bottle and acts as a plug.
Fats. Human milk also contains fats that are essential for the health of your baby. It is necessary for brain development, absorption of fat-soluble vitamins, and is a primary calorie source. Long-chain fatty acids are needed for brain, retina, and nervous system development.
How long should a baby nurse to get hindmilk? After about 10 to 15 minutes of breastfeeding, the milk flow slows and transitions to the sweet and creamy hindmilk, which contains vitamins A and E, and has more fat and calories than foremilk.
By offering the other breast when the first is finished, and repeating breast compressions if needed, your baby will get the correct balance of foremilk and hindmilk automatically. Using both breasts when needed (and sometimes three or four!) will drive up and maintain your supply.
Some babies take a full feed in five minutes while others take 40 minutes to get the same amount. As long as your baby is breastfeeding effectively, you can let him decide how long to feed for and he will get all the fat he needs.
If you see bright green and frothy poop in your baby's diaper that almost looks like algae, they're probably getting too much foremilk – the low-calorie milk that comes first in a feeding – and not enough hindmilk, the higher-fat, super-nutritious stuff that comes near the end.
Foremilk and Hindmilk
Foremilk is the milk that is released during the beginning of nursing, immediately following let down. It will immediately quench your baby's thirst as it has a higher water content. Hindmilk is the milk that comes at the end of the nursing session, during expression.
Newborns may nurse for up to 20 minutes or longer on one or both breasts. As babies get older and more skilled at breastfeeding, they may take about 5–10 minutes on each side.
You make more watery or thirst quenching milk in the morning, and less volume but fattier milk in the evening. This is why your baby may want to cluster feed or fuss feed in the evenings. Your milk producing hormone prolactin is highest in the middle of the night.
Iron in milk peaks at around noon; vitamin E peaks in the evening. Minerals like magnesium, zinc, potassium and sodium are all highest in the morning. Daytime milk may pack a special immune punch.
Usually blueish or clear, watery breast milk is indicative of “foremilk.” Foremilk is the first milk that flows at the start of a pumping (or nursing) session and is thinner and lower in fat than the creamier, whiter milk you see at the end of a session.
If you are concerned that the milk you're pumping doesn't have enough hindmilk, one way to increase it is to pump for longer so that you're pumping when your breasts are emptier. (Remember, the emptier the breast, the fattier the breast milk.)
Most mothers produce enough milk for their babies. Your milk supply is considered low when there is not enough breast milk being produced to meet your baby's growth needs. Many mothers worry about their milk supply, especially in the early stages of breastfeeding.
The Haakaa breast pump helps you collect both foremilk and rich hindmilk. Because it's only a piece of silicone, there's no electricity nor any cords required, making it so easy to integrate into your daily routine!
A pumping session should end once your breasts feel empty. This happens once you have had a few letdowns. You should aim for at least two letdowns, but three or four letdowns during the pumping session is ideal.
The increased caloric need for women who are breastfeeding is about 450 to 500 calories per day. Women who are not trying to lose weight following pregnancy should supplement the above DGA calories per day by 450 to 500 calories.
Despite views to the contrary, breasts are never truly empty. Milk is actually produced nonstop—before, during, and after feedings—so there's no need to wait between feedings for your breasts to refill.
Light green: Consistent green stools in a breastfed baby can indicate an imbalance of foremilk/hindmilk. Foremilk is the low-calorie milk that comes first in a feeding. Hindmilk, which is high in fat, comes second in a feeding. Try feeding longer on each breast.
You can and should save/store any excess milk you collect or pump off. If you're using the Haaka during feedings, or pumping a few ounces off an engorged breast and notice the liquid is thinner and more clear, this is likely foremilk. Foremilk is totally fine to feed to your baby.
This out-of-balance amount of foremilk causes a lactose overload for your baby. The undigested lactose has nowhere to go but the large intestine, where it gets fermented and creates a lot of gas. This gas is the root of your baby's foremilk/hindmilk imbalance symptoms.
Hindmilk satisfies your baby's hunger and makes your baby feel full and sleepy. It also helps your baby feel fuller longer.
If your breast milk fed baby is waking up constantly hungry during the night, make sure that they are actively feeding at the breast for enough time for them to get foremilk and hindmilk. Hind milk tends to contain more fat, which will keep babies satisfied, and asleep, for longer.