Sue I recently spoke with a mom whose baby gained well until he only gained 4 oz between the 4 and 6 mos peds visit. Her hx revealed: recent start on birth control pills - 6 wks ago lots of pacifier use baby sleeps thru nite several days away from baby x 7 hrs, did not pump, gave formula lots of baby food in jars @ 2 jars/3xper day. Maybe some of this is happening with your pt. The plan we agreed on is: d/c or major decrease in pacifier use - let baby suck at breast decrease solids to just offering family foods at family dinner times she does not want to wake the baby to nurse at nite, but did agree to pump one time at nite pumping after bf, using ebm as suppl as much as possible fenugreek and blessed thistle she did not want to use SNS for supplement Laurie Wheeler, RN, MN, IBCLC Louisiana Breastfeeding MediaWatch Campaign Violet Louisiana, USA mailto:[log in to unmask] ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com