I still feel that this baby may be at least partially ineffective with eating 
because he is behind in the weight department. Until he has caught up, he is 
likely to be a lazy feeder and he may truly not have the energy to do this 
right. If that is the case, Mom's milk supply is certainly going to suffer (if she 
truly has the capacity to make enough milk).

It also sounds as if Mom has a low milk supply. I, too, would expect an almost 
one month old baby to be taking more than 2 ounces at a feeding.

The longer this baby goes without an adequate weight gain, the more likely he 
is to have continued nursing issues and the more problamatic Mom's milk 
supply may become. Has anyone considered beefing this baby up with more 
milk: either donor milk, Alimentum, or regular formula? It would be interesting 
to see whether or not this baby becomes a better feeder with more energy 
and added weight.

I will also be waiting to hear the outcome of an eval for palatal issues and 
whether or not Mom takes this baby for CST.

Betsy Riedel RC, IBCLC
Connecticut

I had a case once where baby was almost 3 pounds behind where he should 
ahev been at one month of age and it took a good two weeks

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