Joylyn writes:

>Hi, I have a mom I worked with 4 months ago when her baby was a 
>newborn.  Baby is now just about 4 1/2 months.  Mom pumps 
>occasionally, and reports that at previous pumpings, milk has been 
>thick and creamy.  Today she felt engorged for the first time since 
>the newborn period, and so she pumped--milk was thin and watery. 
>This alone did not concern me.

I agree - not a concern. We know that the watery/fattier components 
of breastmilk are related to the amount of milk in the breast. A 
full, engorged breast is likely to produce on expression a 
comparatively more watery milk.

It's  not clinically significant in any way, and in fact it's 
normal.  She may have gone longer between feeds for some reason, and 
this led to the engorgement.  In the rest of your post you describe a 
baby who is gaining and thriving, so there  is no reason to think 
anything is wrong.

I can't comment on the other parts of your post about the pain at her incision.

Heather Welford Neil
NCT bfc, tutor, UK

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