jennifer
i hesitate to say this becoz the mom has her hands full with a 20 mo old and
5 yr old but....she needs to protect her milk supply. baby seems to be
gaining now but they are at risk. did her milk 'come in' within the usual
time frame? do her breasts seem full, and then soft after bf? usually when
newborns fall asleep quickly at breast I find the milk supply is low or the
latch is poor resulting in a poor milkflow. watch the progress closely and
maybe even do a milk transfer on a scale. i'm sure you checked but is the
baby tongue-tied or any such issues.? some red flags for me would be the 11
oz wt loss from birth to discharge, probably less than a full 48 hr time
frame, and the
"urine was dark yellow or orange the first 4 days." and also the current
feeding behavior, which should be pretty settled by day 6. this is all i can
think of this late.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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