Lactation Works With Pauleen

Lactation Works With Pauleen International Board Certified Lactation Consultant based in Cape Town ~ available for private Hospital and Home consults and antenatal breastfeeding class.

Helping love to flow and babies grow beautiful.

Great info on milk fat variables in  breastmilk. Thanks for explaining LALactation
31/03/2026

Great info on milk fat variables in breastmilk.
Thanks for explaining LALactation

ALL MILK IS GOOD MILK!! The fat in your milk accounts for 50% of the calories your baby takes in each feeding. While protein and lactose remain relatively stable throughout the day, milk fat concentration can vary by 47% in a 24 hour period!

Factors that influence milk fat in breast milk:
🤱🏽 In the mother/lactation parent(some of these you can change and control and some of these you can’t):
Lifestyle
Diet
Body size
Health or disease/inflammation
Number of children
Type of birth
Overall milk volume produced daily

👶🏼 In the baby (the mother/parent’s body responds to make specific milk to accommodate the baby):
Gender
Gestational age
Birth weight

🍫 Other factors that influence fat in human milk:
⏰ Time of day (highest fat is in the afternoon/evening)
👶🏼 👧🏽 Stage of lactation (colostrum has the lowest amount of fat. Extended milk for toddlers 12+ months has the highest amount of fat!)
🗓 Time postpartum (milk fat increases with time!)

Ways to help increase milk fat:
🤱🏽 Feed more frequently. An emptier breast has higher fat and lower water concentrations.
⭐️ Shake your breasts prior to feeding. This gets the fat at the back of the breast to be activated more quickly to flow sooner in the feeding
🐠 Add in healthy fats to your diet: salmon, herring, sardines, flax and chia seeds, and walnuts are high in healthy fats that don’t increase fat, but the type of fat found in your milk
🍦 Manage diabetes/blood sugars
🏋🏽‍♀️ Make sure you’re not anemic or iron deficient
♨️Reduce inflammation in the body (can often be done with diet and lifestyle changes and/or with the help of a naturopathic practitioner)

30/03/2026

These are the feet of a 10-week-old unborn baby taken in 1970

You can see 10 tiny toes, two distinct legs, and feet.

These children are not “just a clump of cells”

They are developing human beings made in the image of God.

30/03/2026
30/03/2026

How a baby is protected in the womb.

This is one perfect baby and every mother has one!
26/03/2026

This is one perfect baby and every mother has one!

25/03/2026

Breast milk isn't a static fluid. It changes throughout the day. Hour by hour. Feed by feed. Adapting to what your baby needs at that specific moment.

MORNING MILK Higher in cortisol. Yes your stress hormone transfers through milk. In the morning cortisol is naturally elevated to promote alertness and activity. Morning milk delivers a mild stimulant that helps wake the baby up and prepares their system for the day.

AFTERNOON MILK Transitional. Cortisol dropping. Fat content beginning to increase. The milk is shifting from alertness support to calorie delivery.

EVENING MILK Higher in melatonin and sleep-inducing nucleotides. Your body is producing sleep hormones as daylight fades. Those hormones transfer through the milk. Evening milk is literally a sleep aid. Nature's sleep medication delivered through the breast.

The fat content also peaks in the evening. Higher fat means more calories per ounce. The baby gets a calorically dense sleepy feed right before the longest sleep stretch.

NIGHT MILK Maximum melatonin. Maximum tryptophan. Lowest cortisol. Night milk is chemically designed to keep the baby sleepy during feeds so they return to sleep faster.

WHY THIS MATTERS

If you pump and store milk from morning feeds and give it at bedtime you're giving your baby wake-up milk at sleep time. The cortisol in morning milk works against the natural melatonin rise at night.

When possible match pump timing to feed timing. Morning pumped milk for morning bottles. Evening pumped milk for evening bottles.

If that's not possible don't stress about it. The effect is subtle not dramatic. But if you're struggling with bedtime and offering morning pumped milk it's worth trying the match and seeing if it helps.

Your body knows what time it is. And it adjusts the recipe accordingly.

So true! Read the baby not the book!
25/03/2026

So true! Read the baby not the book!

If I was going to write a parenting book for new parents, it would be one page long.
No chapters. No expert interviews. No sleep graphs. Just this:

Welcome.You did not miss a class.
There is no secret manual being passed around to better parents. No one knows what they’re doing the first time they meet their baby. Some people are just louder about pretending.

Your baby is not a problem to solve. They are a person to learn.

And inconveniently, they don’t come with bullet points. They come with vibes. Unpredictable, chaotic, sometimes scream-crying-at-2am vibes.

Here’s the advice:

If they’re crying, run through the basics like you’re on autopilot
feed them
change them
hold them
rock them
try again
and then try something completely random that makes no sense but somehow works once and never again

Congratulations, you’re parenting.

You will google things at 3am like “is it normal for babies to make dolphin noises” and “how long can someone survive on broken sleep and iced coffee” the answer is yes. To both.

You will think you’ve cracked the code and then your baby will wake up the next day and say actually I’m a completely different person now, good luck

You are not doing it wrong just because it’s hard, or messy, or doesn’t look like someone else’s routine on the internet

There is no perfect schedule, no perfect method, no gold star baby

There is just your baby, and slowly, quietly, without realizing it, you are learning them

the way their cry changes when they’re tired
the way they curl into you when they need comfort, the exact bounce that works
until it doesn’t and then you figure out a new one

That’s it. That’s the whole thing.

You don’t become a good parent by doing everything right, you become a good parent by staying, by trying again, by paying attention,
by loving them through the chaos

So if today all you did was keep your baby fed
and mostly clean and loved in between the overwhelm, you didn’t fail

you understood the assignment

End of book 🫶🏼

23/03/2026

Thanks Julie. CHIN TO SKIN! 👍

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Cape Town

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