Laurie writes:

<snip>
>
>I realize that babies can get adeq. cals but still not gain due to high
>metabolic needs, illness etc. So this could be explored as well. But from
>the description, I would look at the EFFECTIVENESS of the bf, the milk
>supply, etc ala the rules of the road that serve me well - feed the baby,
>protect the supply, fix the bf.


I agree. What is more likely? That there is something inherently 'thin' or
'fat free' about the milk, or something going wrong with the way the breast
milk is stimulated and transferred?

How often is this baby feeding - it may need to be more than the times the
baby 'asks', maybe *far, far more* . Is the way the baby latches observed
as effective? What about the sucking and swallowing?

If the baby is feeding often and apparently effectively, then poor weight
gain is more likely to be due to underlying illness than poor milk.

Don't know what the fat analysis would show anyway. Milk changes its fat
content throughout the day and throughout any particular feed, feeds result
in diff.volumes...what would the lab be looking for?

Heather Welford Neil
NCT bfc Newcastle upon Tyne UK

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