Kathy,
If this is the case, do you think using the 'milk shake' concept (I beleive it's Dr. Smillie that uses that term) of suggesting the mother use breast massage/very gentle shake of the breast to 'remix' the separated fat back into the milk before milk expression/feeding would help with that? 

She has started to notice that the 'chunks' are more obvious in the freshly pumped when she has longer times between milk expressions.

Thanks for your thoughts!
Rachel

Subject: Re: "chunky milk" in exclusive pumping mom of preterm infant

Hi Rachel,
This is just a thought, but I have personally experienced this with my daughter. Her milk is very high in fat content and frequently comes out looking like pasta noodles! This tends to put her at higher risk for plugged ducts so she takes lecithin as an emulsifier which works beautifully.  In the absence of pain, fever, foul odor or unusual color or bleeding, it seems possible that this mom's milk is just healthy and high in fat.
Hope this helps - good luck!
Kathy

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome