In a message dated 5/8/2005 5:53:31 PM Pacific Standard Time, 
[log in to unmask] writes:
Baby born at term by NVD, now 4 months old and is on digoxin for cardiac =
problem.

Baby weighed at Doctors to-day and has  gained 90 grams in 2 weeks. 

Are we sure this is accurate?  How was he weighed?  Naked? Dry diaper?  Same 
scale? What was his birth weight?  Last weight? This weight?
=
Doctor has recommended that solids be  introduced.  prior a few weeks =
ago baby had  been gaining weight.
THis would not be my first recommendation. 
He will only spend 3 - 4 minutes at =
the breast.  
HOw many times per day?  Has his feeding frequency dropped or length 
decreased--this may lead us to believe he may be having possible nausea.  

He appears settled and not lethargic when I weighed him =
today. 

THis is reassuring.  And what weight did you get?
The concern is  the side effects of the digoxin which is known to =
cause nausea as the levels increase. Mother  still wants to breastfeed =
but is concerned that she 
Is Mom using breast compression?  I  Like Teresa's idea of wearing is sling 
and feeding as soon as he cues--is she doing that or at least staying close and 
feeding as soon as he cues?  I like the supplementer idea as well.  

Is this baby going to have more surgeries?  Does he need to be a certain 
weight before they can do them?  

Can the slowing be a variation of normal?  Or of a normal fluctuation of 
growth?  Will he then pick up on his own in the next few weeks?  

Once some of these questions are answered then a step by step plan of action 
can be developed.

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