I have
>a mom that started out great with BF. Nursed well for 3-4 weeks. Now baby is
>extremely fussy. Cries after every feeding. Mom was about to have dad
>introduce a bottle of expressed milk. She pumped 3 ounces from each breast
>in just a few minutes and could have pumped more. he does not vomit, has
>gained three pounds over birth weight.

Sounds like classic oversupply to me.

For the
>past 24 hours she has nursed all feedings in four hours from one breast,
>then the other. She feels her supply has diminished some in that time, and
>now he "isn't getting enough".

It takes a few days of this sort of strategy to see the difference in the
baby usually. What makes her think he "isn't getting enough"? How many wet
nappies, etc?

 We
>have talked about eliminating dairy and artificial sweeteners (she is a die
>hard diet drink fan). She says she hasn't had much in the last few days. I
>saw her at a restaurant last night eating hot wings. We'll dig a little
>deeper into the diet tomorrow.

Is there any history of food intolerances at all?

Other possibilities
- silent reflux (baby doesn't vomit, but gets 'heartburn'). Timing of onset
would fit. Is baby worse when laid down, and happier when kept upright?
- birth trauma. I have come across a couple of babies who had difficult
forceps delivery or similar, and had necks put out. Fixed by a
chiropractor.

With these sorts of things bothering baby, he sucks for comfort frequently,
thereby inducing an oversupply. This gives him tummy ache from undigested
lactose going into the bowel, causing wind and colic pains, which makes him
more unsettled and wanting to suck more. Vicious circle.

Let us know what you learn when you visit them.

Joy Anderson IBCLC, NMAA (Nursing Mothers' Association of Australia)
Breastfeeding Counsellor
Perth, Western Australia
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