Certified Lactation Consultant Practice Exam

The recommended practice regarding the number of breasts offered during feeding emphasizes that it does not significantly affect the net fat intake of the infant. Studies indicate that infants are capable of regulating their intake of hindmilk (which is richer in fat) and foremilk, provided they are allowed to feed according to their natural cues.

When infants nurse, they typically start with foremilk, which is lower in fat, and as they continue to nurse, they receive hindmilk, which is creamier and higher in fat content. Therefore, allowing the infant to feed as long as they wish on one breast can enable them to receive the appropriate balance of milk, including both foremilk and hindmilk, without necessarily requiring them to switch breasts during every feeding.

This approach can also help with establishing a good breastfeeding rhythm, as infants may be naturally inclined to nurse longer on one side. The focus on infant-led feeding supports their natural feeding behaviors and preferences.

While offering both breasts can be beneficial in certain situations to ensure adequate feeding and stimulate milk production, it is not a strict necessity for adequate net fat intake. Hence, the understanding of how milk composition works in relation to breastfeeding is essential for effective lactation counseling.