>One of my fellow LCs is seeing a mom, and asked me to post to the list, so
>here is what I know:
>
>Mother came in for a consult because of weight loss in baby, and firm,
>engorged breasts around day 4.  Nipples were not sore...latch appeared good,
>but baby only able to get a few cc's despite vigorous suckling.


Am I missing something here, Kathy, sorry?

All these factors - weight loss, firm engorged breasts, painfree
nipples, small vol of milk transferred to baby - are on the normal
spectrum on day 4. Not being able to get much milk out with a pump is
also on the normal spectrum, and does not necessarily reflect what
goes on with the baby. Hand expression is sometimes gentler and more
effective with engorged breasts, too.

I'd want to know about the behaviour of the baby on the breast...if
the baby is miserable or fighting, for example, there may be an
issue....and yes, the medical history of the mother may bear some
thought.

But why was the mother referred?

Heather Welford Neil
NCT bfc Newcastle upon Tyne UK

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