In a message dated 5/19/2003 3:19:48 PM Eastern Standard Time, [log in to unmask] writes:
> I'm stumped. I have a mom (who has given me permission to ask) whose baby
> is now over 12 weeks old, and baby just experienced a plateauing of her
> weight, (again)ultimately requiring supplementation to
> achieve weight gain.
Linda,
It may help to have more history on this BF dyad re: baby's birth weight, lowest weight, time to regain birth weight, monthly gain, current weight, and DOB. In addition, the baby's 24 hour feeding pattern/feeding recall would help, including any changes, e.g. when it's said the baby recently began sleeping through the night, just how many hours is that without a feeding/without milk removal? How long does a typical feeding take; does the mom use both breasts; does baby self-detach, etc.? Has baby been fed on cue from the get-go or has the mom been working on moving baby into a regular routine? Have 24-hour pee/poop counts ever been an issue? How often does this mother use the PIS in a typical 24 hour period? (Since you already talked to her about pump type, 'nuff said.)
I think having the degree of tongue tie and effect on tongue movement assessed is a great idea.
I've met a lot of women who said they had production ("supply") issues with previous babies, but almost all also had BF/lactation management issues, too, so I don't generally find that info noteworthy for the present situation. Sometimes it is, but I find i have to really dig deep for info to assess a true production issue, unless a mother has really good recall for details of previous experiences.
I realize this just adds questions rather than provide possible answers...Sorry.
Karen
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