> 2) breastfed babies (usually older) stool with less frequency because with
> breastmilk there's less waste.
>
>
I have heard this, but can't recall any references.
My own perspective on this is that there is a wide range of normal, but
if I do hear that a baby is not stooling for several days, I go to the
next item of the list to make sure he is really breastfeeding
effectively. In my experience, more babies are not stooling *and* not
gaining well than simply not stooling (in the absence of other
problems).

In terms of 'treatment' : Some babies will drink a sip or two of EBM out
of a cup or spoon after a not-so-good feed, and then have a bowel
movement. Others do well with a combined feed (SNS). Still others do all
right with expression-at-the-breast (aka breast compressions).

I like to see all-out pumping and breastmilk-feeding as a temporary
means of ensuring a baby is getting calories while he is learning to
breastfeed, but I'm not at all hesitant about suggesting hand-expression
at or after a breastfeeding. Chances are good that something is wrong
with the way the baby's mouth is working or connecting to the mother's
breast, but while we are figuring out what it is, a reminder to baby
that this good stuff *is*  plentiful and can be had can work wonders.

Jo-Anne Elder-Gomes, IBCLC


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