In a message dated 3/22/05 8:02:02 PM, [log in to unmask] writes: > Weight gain of 3 ounces in next two weeks, > at which time mom contacted me again because she felt her milk supply was > dwindling. Previously she had been getting 4+ ounces total per pumping and > was > now down to 1-2 ounces when she pumped > I advised resuming pumping after most feeds and supplementing with 1 to 2 ounces EBM and/or formula thru SNS and she started fenugreek. Milk supply increased slightly with this regimen, but transfer weights continued to be less than 30 cc's total. Fenugreek and any feeding at the breast was discontinued last week by mom's choice. Mom only getting total of 10-11 ounces per day and giving about 20 to 22 ounces of formula by bottle. I'm unclear as to the age of the baby at this point. Clearly her supply dropped dramatically over the 2 wks of nonpumping BUT a milk transfer of only 30cc or so may have been expected with the decreased stim AND seemed to coincide w/ a 50-75% decrease in EBM. The poor transfer may have been closer to optimal when compared to available volume thus It is difficult to assess whether this baby was improving her suckle p/t it's abandonment. With this in mind and because suckling is preferred to pumping when attempting to up production, I would encourage Mom to resume SOME feeding at breast, along w/ domperidone use and reiteration of the importance of compression, changing positions and switch nursing when swallowing has dropped off. Hopefully she is skilled at all of the above by now! If the baby is spitting more w/formula than it seems safe to presume that the formula is the cause, I'm skeptical as to how a GI specialist can help with this. IME, most often they advise a more elemental formula AND discontinuing breastfeeding. Lynn Shea Rn,Bsn,Ibclc Lakewood Ranch, Fl *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html