Hi all,

Received a call from a mom today.  Baby is 1month old.  For the past 10
days baby has been nursing for 2 hours at a time, still acts hungry and
will take 2 oz of formula after breastfeeding.  Mom says she is nursing
about every 3 hours. Says that other than when she feels let-down (about
twice a day) she is not hearing very much swallowing at the breast.
This baby gained over 1 lb by one week of age.

Mom says fluid intake is good and denies any meds.  She believes latch
is good, however she has developed some soreness during these extended
nursing sessions.
.
Will be coming in for help on Wednesday.  Other than assess latch and
recommend a thyroid test, any ideas?  I have considered advising adding
pumping, but would that do anymore than a baby that is nursing for such
a long period?  Herbs or reglan could be another suggestion.

TIA,
Judy H.  IBCLC

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