A mother with a four month old baby came into my office today to feed
her daughter and weigh her ac/pc.  She has come in a few other times and
rented a hospital grade pump for a month when she did not have an
abundant milk supply.

This baby had a 10% weight loss the first few days and took more than
two weeks to regain birthweight.  That's when her mother first came in
and we worked on deep latch on and she began pumping with a personal
pump to supplement her daughter and increase her milk supply.  When the
baby continued to be fussy, unsatisfied and slow to gain weight, she
rented a hospital grade pump for a month  and her supply increased; baby
began to gain weight.  At three months she was still in a low percentile
for weight and quite fussy, so the ped. had mother start cereals.

Now at four months of age, she is gaining well and is bright-eyed,
content and smiling.  However, she takes three meals a day and four
feedings at breast.  The meals consist of 3 Tbsp. dry cereal mixed with
mother's milk and a four ounce jar of either baby fruit or vegetable.
She eats it eagerly, mother reports.  But mother is concerned because
she nurses only four times a day and those feedings are getting shorter.
Baby sleeps all night (started this at two months of age even when she
was fussy and hungry all day).

Today her ac/pc weight gain was just 1.6 ounces and she was quite
content.

Any suggestions or advice for this mother?  Does this seem like a lot of
solids for a four month old?

Diane Perrone, RNC
Materna Wellborn
Algonquin  IL  US

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