RE: EBM that does not separate?

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I would think the opposite, that it is quite fatty, with those little specks being extra fat… Billowitz, IBCLCIsrael From: [mailto: ] On Behalf Of nursebethanySent: Monday, August 20, 2012 6:41 AMTo: Subject: EBM that does not separate? 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__________ Information from ESET NOD32 Antivirus, version of virus signature database 7399 (20120819) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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Yes, because the skim stuff is translucent bluish, ime, not opaque white.Lynn in MO

I would think the opposite, that it is quite fatty, with those little specks being extra fat… Billowitz, IBCLCIsrael From: [mailto: ] On Behalf Of nursebethanySent: Monday, August 20, 2012 6:41 AMTo: Subject: EBM that does not separate? 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__________ Information from ESET NOD32 Antivirus, version of virus signature database 7399 (20120819) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

[Guest guest]

That's what I'm thinking. When my milk was more white it didn't seem to separate as much. When bluish, I would get the little layer on top or have floaty chunks in it. My mother in law would tell me she would throw that away because it was too thin. Cheryl n To: " " < > Sent: Monday, August 20, 2012 9:16 AM Subject: Re: EBM that does not separate?

Yes, because the skim stuff is translucent bluish, ime, not opaque white.Lynn in MO

I would think the opposite, that it is quite fatty, with those little specks being extra fat… Billowitz, IBCLCIsrael From:

[mailto: ] On Behalf Of nursebethanySent: Monday, August 20, 2012 6:41 AMTo: Subject: EBM that does not separate? 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__________ Information from ESET NOD32 Antivirus, version of virus signature database 7399 (20120819) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com