Riva,

The only time I've ever questioned milk quality is with moms who have had a history of gastric bypass or other similar procedures.  Otherwise it would seem to be a quantity issue.

Keep us posted!

Aria Baker, MS, IBCLC


Date:    Wed, 20 May 2020 03:20:32 -0400
From:    Riva WeissfishIBCLC <[log in to unmask]<mailto:[log in to unmask]>>
Subject: "low quality" milk

PTP. A women I was trying to help retain breastfeeding, told me that she bottle fed three of her children EBM and even with adequate volume they did not have appropriate weight gain. When they were fed the equal amount of formula they did gain weight. She was told by her physician that her milk was "low quality".  We are not speaking about which charts were used. They fell off their own rate of growth curve.
In the past, she starts with breastfeeding, switches to pumping and then continues with supplements until she finally switches entirely to ABM.  This time she wants to change to ABM already "before he starts to lose weight".
Is it possible for milk to be so low in fat that infants will not gain weight? According to her report she has an average diet and reasonable calorie intake. She does not have oversupply issues (thinking: too much milk -not finishing sides). If this would be the case, is there a solution to the problem? Would pumping out beginning of the meal to access fattier milk be effective?
Thanks for your insights!
Stay Well!!!
Riva




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