Hi Becky,

This baby's birth weight was 7-7.  He left hospital at 6-11, and at 5 weeks 
he was 7-14.  The roughly 4 oz./week is from lowest weight.  So, he falls 
in the second scenario that you mention.  I don't find it frightening, 
given everything else being on-track, but for sure it needs looking into. 
Like some of the other posts I received, my take on this is that this 
little guy may be a slow gainer but he's doing fine.

This is a LLL call for me- I am both a LLL Leader in my community and pp 
IBCLC.  I do not make house calls as a LLL leader, so I have not seen this 
baby face-to-face (but his pediatrician has several times over the past 
weeks).  The mom has not indicated that she is interested in a LC 
home-visit (which, ethically, I would have to decline and recommend someone 
else in my area).  She is getting  and taking advice, also, from her cousin 
who is a pediatrician (who breastfed her children) who has recommended 
giving the baby some formula after nursings.

Thanks for your input!

~Dianne





> > I don't think it's indicative of formula supplementation, but it would
> > clearly signal to me the need for a good look at what's going on.  This is
> > not a normal weight gain for a newborn.  And 4 oz./week from where?  Birth
> > weight or lowest weight after birth?  The second scenario would be
> > frightening to me.  What is the birth weight and current weight that
> > you're talking about on this baby?
> >
> > Becky Krumwiede, RN, IBCLC
> > Appleton, Wisconsin

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