I personally think, at this time , there are only 2 good reasons to use a 
creamatocrit.
1. To remove fat - babies with chylothorax
2. To increase fat for babies in NICU.

to my mind  one test on one sample wouldn't be effective for assessing a 
mom's total daily production.  We know that breastmilk changes within a 
feeding and within 24 hours.  One test is one glimpse.  The 2 examples I 
gave on use is used on all milk for all feedings.

In the original case described,  transfer of milk -not quality or 
uantity  -seems to be the issue.  I personally think that the majority of 
times our cases involve transfer issues - latch, positioning etc., not the 
quality or quantity of breastmilk.

Like the world, we need to trust women's bodies and  believe in sufficient 
quality and quantity :-)  (Yes, we may see quantity issues when transfer as 
been poor for a long time, but I believe quality isn't ever an issue).  Pat 
in SNJ 

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