I'm new around here and hope you can give me some advice. My 3 month old dd has some pretty serious feeding problems (aspiration, severe reflux) and difficulty gaining weight which means that she can't take milk directly from the breast because her feeds need to be thickened (to prevent aspiration) and fortified with formula (for extra calories). Of course, I've been devastated because I loved nursing my older child so much . And even with all of this effort, my lo is still only gaining 1-2 ounces a week, so we're in "failure to thrive" territory.
Anyway, I'm pumping for her with the hopes that she will eventually be able to grow out of her problems and can go back to nursing, at least a few feedings a day. I'm producing more than enough milk -- I pump 6 times a day and just stop when I get 8 oz, which usually takes about 5 minutes!
I'm starting to wonder if I'm not producing enough hind milk with this system. After I leave a bottle of milk in the fridge overnight, the amount of cream that precipitates to the top is generally only about .5-1 mL. Is this normal? And does anyone know of a way to increase the amount of hindmilk produced when you're exclusively pumping? I could cut back on the amount I'm pumping each day but I'm terrified of my supply dropping and then I can't get it back . . .