Hi Jannette,

My first thought is reflux. This can seem to be overdiagnosed, but some babies do have it.

I calculate the weight gain at average 4.8 oz per week, which is normal, though not stellar.

As my other thought is oversupply/overactive letdown, often we see a large wt gain with that. Sometimes not.

Also it would seem that at this point in time, the overactive symptoms would have tamped down. Not

necessarily though. You did say mother has lots of milk, though if she pumped 5 oz and that is a typical

volume (what is typical, right?) then that doesn't fit oversupply to me.

So back to my first thought of reflux, and then perhaps letting baby have more control over feeding positions?

Does baby have *any* respiratory symptoms or odd sounds?

Laurie Wheeler RN MN IBCLC

Mississippi USA







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