This article could not have come at a better time for me.  I have a mom who
is breastfeeding her second child.  Her first child attempted to breastfeed
and lasted 11 weeks before she had to switch to bottlefeeding because the
infant was dehydrated (dry, cracked lips and sunken fontanelles) I was not
working with her at this time.  Her second child gained his birth weight at
4 weeks of age without fussing from the peds and no supplements.  He was
gaining an average of 4 ounces/week so that kept peds at bay.  Now he has
only gained 2 ounces/week and she was sent to a nutritionist. The
nutritionist wants her to pump and feed the baby the bottle for 48 hours so
that she can see how much she is producing vs. how much the baby is
tolerating!  Is this something that is routinely suggested?????  I am in
the process of getting that plan of care changed to before and after
weights.  Am I wrong in thinking that this would be a more accurate way of
measuring this breastfeeding relationship?  I feel a little out of my
league here and will look through the archives (which are brillantly done)
for more research findings.  To top this off, the peds are now suggesting
that she supplement with formula to prevent possible neurological
deficients that she may be causing him due to breastfeeding!   Uggggggggh.
Last time, this mom could not get milk to save her soul; this time around
she has leaking breast and periods of fullness to indicate her need to
nurse.  Any help, suggestions, words of encouragement would be greatly
appreciated from this worldly group.  Thanks in advance,  Carol

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