Lactose overload in breastfed babies. Dr Pamela Douglas & Dr Sharon Perrella, F2F Masterclass Melbourne 2018

Pam's comment (erratum):

I no longer describe lactose overload in terms of cream or fat. I've included this video because I hope that the discussion will nevertheless be of use to you.

In this video I state that our management strategy for lactose overload increases total fat intake over a 24 hour period. The UWA research shows similar total fat intakes regardless of frequency of feeding - although if we are not offering frequently, then production will drop, total milk volumes will drop - and presumably total fat content will drop proportionately too. But my comment in this video is inaccurate.

For some years (and in the revised version of The discontented little baby book) I have described lactose overload by focussing on the main mechanism, which is volume of lactose which overloads the lactase in the small intestine, causing lactose to reach the colon, where it ferments. Management strategies remain the same as those I discuss in this video.

Unfortunately many women are still advised to 'drain the breast so that baby receives lots of cream', which commonly results in inadequate milk production for the baby's needs.