Susan
THis is a pet peeve - who says it is abnormal to be in the lowest 10% for
weight?  10% of NORMAL babies will be in the lowest 10%!  The purpose of these
charts is to identify the upper and lower 3% so that they can be screened to
see IF there is a problem.  They are not by definition abnormal.
This kid gained 2 lbs in 2 months.  This mom was doing fine.  Notice that the
weight gain did not pick up with the addition of 16 oz of abm daily.  ARGH!
Of course, nothing will destroy milk supply like giving abm.
        Mom can increase her supply by increasing nursings and slowly
decreasing abm, 1/2 oz per feed every other day is a published guideline.  She
should of course watch baby for output and activity level.  Milk must be
removed in order for the breast to be stimulated to increase production.
Pumping is only useful if milk is being removed, and effectivenss of a pump is
related to both pump design (motor size, cycling time) and "fit" with the
mother.  Can this mom manually express?  If the pump is not effective, it
might be more profitable to put the time into nursing and trying to regain
what was once a perfectly fine milk supply.
Catherine Watson Genna, IBCLC   NYC   [log in to unmask]