The longer the time between feeds, the more diluted the leftover milk becomes. This 'watery' milk has a higher lactose content and less fat than the milk stored in the milk-making cells higher up in your breast.
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.
Too much foremilk is also believed to cause stomach and gastrointestinal (GI) issues in babies. The extra sugar from all that foremilk can cause symptoms such as gas, abdominal pain, irritability, crying, and loose, green bowel movements. 2 You may even think that your baby has colic.
Foremilk/Hindmilk Imbalance
It can happen due to overfeeding, feeding that is low in fat, or feeding in large volumes. When your baby drinks a large quantity of breast milk, the foremilk that comes first can fill them up. They may get full before they're able to drink much of the hindmilk.
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.)
The total milk consumed daily—not the hindmilk—determines baby's weight gain. Whether babies breastfeed often for shorter periods or go for hours between feedings and feed longer, the total daily fat consumption does not actually vary. Foremilk is not always low-fat.
Some babies take a full feed in five minutes while others take 40 minutes to get the same amount.
The fat content in your breast milk corresponds to the number of times you feed your baby. When you nurse your child faster than your breast milk replenishes, your baby is more likely to get the hindmilk. Consider breastfeeding on demand or upping the amount of times you feed your baby throughout the day.
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.
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.
If your breasts are really heavy and full before your baby breastfeeds, hand express or pump for 1-2 minutes and discard your foremilk. Foremilk flows at the beginning of the feed and if your breasts are really full…. this milk can flow fast and furiously!
Is watery breast milk good for your baby? In a word, yes. Both fatty milk and watery/less fatty milk are good for your baby, and it's important that your baby gets both. (Think about when you're eating a meal – most of the time, you want both substance to fill you up and a drink to stay hydrated.
Previously referred to as a foremilk and hindmilk imbalance, lactose overload occurs when a breastfeeding baby regularly gets more watery, higher-lactose foremilk and less of the creamy hindmilk.
The first explanation is that you're not pumping long enough to get to the "hindmilk." Balanced Breastfeeding noted that since hindmilk sits further back in the duct, it's harder to draw out.
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.
Some moms notice the morning milk has more volume and lower fat content, while the evening milk may have more fat but be lower in volume. By pooling your breast milk, you ensure baby receives nourishment that is more uniform and consistent.
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!
Consequently, foremilk was described as thin and runny, and hindmilk was described as thick and creamy. When you compare samples of foremilk and hindmilk expressed during the same feeding, it's true that the foremilk usually has less fat and fewer calories than the hindmilk.
Opt for protein-rich foods, such as lean meat, eggs, dairy, beans, lentils and seafood low in mercury. Choose a variety of whole grains as well as fruits and vegetables. Eating a variety of foods while breastfeeding will change the flavor of your breast milk.
To collect hindmilk for your premature baby, you should use a breast pump and separate the foremilk from the hindmilk as you pump. When you begin pumping your breast milk, it will be thin and watery. Pump for about 2 minutes, then remove the collection container from the pump.
However, if there is an overabundance of foremilk, the baby can consume it before receiving enough hindmilk. This is known as a foremilk-hindmilk imbalance, and it can result in gas, loose green bowel movements, and colic symptoms.
A forceful letdown and oversupply of milk can also result in foremilk/hindmilk imbalance and its sequelae, mimicking reflux.