Dear List,

I am a La Leche League Leader.  A mom (G5) contacted me regarding her milk
supply concerns.  Her 4 wk. old boy seems to be slow at gaining weight.  She
"lost her milk" with her previous child when the baby was about 5 mo. old,
and is nervous.

She takes Albuterol MDI (17 g./200 measured inhalations) about 3-4x/day.
Baby weighs about 8 lbs. now.  She says that he's fussy and cries a lot.
Baby's latch is fine; mom's not sore.  Mom hydrates to thirst, but admits to
awakening at night with incredibly dry mouth. (I suggested putting water by
her bed.)

I saw the baby last night at my meeting, and his skin around his forehead
and legs looks wrinkled.  He's got about 4 soaking wet single-use diapers
per day, (measured against a "test" diaper with 1/4 cup of water in it) but
also 4-5 stools.  They're green, small amount.  Baby doesn't seem to be
teething.

Queries:

    1.  Does Albuterol MDI cause low milk supply and poor weight gain?

    2.  If so, is there an alternative?  (I checked archives.  Not too much
there.)

I told Mom to check with a local L.C. just for her own peace of mind, but I
have to say that that wrinkled skin, slow gain, mom's history and baby's
irritability all make me concerned.

TIA for the help.

W. Ellen Fleischmann
La Leche League Leader
Los Angeles, CA

             ***********************************************
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