EBM that does not separate?

[Guest guest]

Has anyone ever seen EBM that does not separate? I was showing a family how to

supplement at the breast, and noticed that the bottle of milk they pulled out of

the fridge was a homogenous opaque white. They said it always looks like that,

that they didn't shake it, and have never seen it separate. On close inspection

I noticed only a few little white specks floating at the surface. She is

pumping both sides after every feed.

More clues: This baby had an 11% loss week 1, and zero gain week 2. The latch

was poor from the start, with nipple pain and trauma. Mom got sick and was

hospitalized for a post partum uterine infection and heavy bleeding. They ruled

out retained placenta by ultrasound, but she had been passing big clots for days

prior to that, so it may have passed on it's own. She pumps after each feed and

gets about 30 from the side she fed on and 90ml from the other.

Her milk is really odd to me. Someone please tell me that it is impossible to

have milk with the fat component missing. Is it possible that lactogenesis II

was disrupted but the casin has turned the colostrum white?? If so, how is she

getting the volumes she is pumping?

Thank you in advance for your thoughts!

Bethany Sasaki, RN, IBCLC