I had a good day in the clinic today and just thought I'd share. I saw a mum two weeks ago whose baby was 12 days old and 19 oz below BW. Dr had sent her to our clinic for a weight check. Mum had given 1 oz of formula in past 24 hours by finger feeding. Diapers not appropriate for age. Bf'ing assessment revealed soft breasts, no swallowing, ineffective suck at breast with no improvement with a SNS and poor suck with finger feeding, distressed with cup feeding and a mum who thought baby was swallowing when she saw movements in baby's throat. I suggested trying an Avent bottle at the next feeding, some suck training, chin/jaw/cheek support when feeding (whichever helps baby get a good rhythm going) putting baby to breast 8-12x per day for short periods until swallowing is consistently heard, breast compressions, skin to skin, renting a pump and pumping after feeds & once at night and considering herbs to increase supply. She left to get a pump and with knowledge of appropriate diapers, a goal of 22 oz/24 hours if not swallowing at breast and awareness of what swallowing should sound like. Mum was to return to the clinic but didn't return until two weeks later - today. Baby had gained almost 2 lbs in two weeks! Baby is going to breast and sucking well. She is exclusively giving breastmilk and baby gets one bottle of expressed milk in the evening by dad so mum can get a break. She is taking the pump back. Mum was thrilled with the gain. Hopefully she will give up the evening bottle too. I am tickled pink. I know it happens all the time but I just get such a kick out of each one of these cases. I have also "fixed" two other babies this week in 3 minutes flat with the Charm Hold. Janet Vandenberg RN, BScN, IBCLC Ontario, Canada *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html