Jaye, when I have babies who can not remove enough milk yet mother has 
plenty more, I have them assessed by a good Speech Language Pathologist who 
knows babies. I have had tremendous success going this route because these 
people can figure out what is wrong and how to correct it. I really like 
test weights because this is how we finally figure out if baby is 
consistently removing low amounts of milk. I have seen babies do ok until 
they get to 1.5 to 2 ounces and then no matter how long they continue 
sucking, nothing more is removed. I will have mom pump afterwards on a 
rental or hospital quality pump. Usually at first her supply is low but 
after a while she can often remove another 2 ounces. Yet baby is still only 
removing 2 ounces himself. Once they get big enough, two ounces just isn't 
enough to help them grow. Even with frequent feedings.

Kathy Eng, BSW, IBCLC 

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