I would not be at all reassured by this baby's wt gain. Going from 6#11oz to 7#14 in 5 wks is a little less than 4 oz per week. In my experience, healthy babies gain about a pound every 2 wks. The most common scenario I see for the baby who has lost a great deal of weight (like this one did about 10%) is a very large catch-up wt gain in a day or two. That is provided, of course, that the baby is receiving the appropriate volumes and calories during those couple days. Since you are not able to see the dyad, it would be prudent to recommend a skillful LC to evaluate the infant's breastfeeding and the history and physical of both; and also close f/u with the physician. The mother may very likely need intensive stimulation of her supply at this point. Formula supplementation, while appropriate for providing calories and volume to the deprived infant, does not solve the breastfeeding problem nor the milk supply problem, if there is one, and should never be recommended without this other most important part of the care plan. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html