> .  So,
> theoretically, our 8lb. baby should weigh, at 3 weeks
> of age, 8lb., 5oz.  Am I going to instruct/encourage
> this mom to supplement this little one whose gain is
> now lagging by over one pound?  You betcha.
>

Supplementing should not be the first line of action.  THAT is my point.  It
should be the last.

How often is the mother nursing?  Every 60 - 90 min. during all mother's
waking hours?  Not more than two 3 - 4 hr stretchs at night? That's
appropriate for a slow gaining baby.  I often see moms who have a slow
gaining baby who are nursing every 2 - 3 hrs.  That doesn't cut it when some
weight gain is needed.

How many wettings is the baby having?  If they are low, then I would boost
the supply with an excellent galactagogue.

Is Mom drinking plenty of water and staying well hydrated herself?  Eating
well?

Are there any other symptoms to go along with this slow gain?  Gassiness?
Consistently green and frothy poops?  Colic?  Anything that would give a clue
as to something else that may be keeping baby from gaining?

MY point would be that supplementing is the very last option.  I very rarely
to never have to resort to advice including formula.  I never advise a bottle
nipple be used for EBM.  But I do see Susan's point that it may be a
difference in the women we work with.

Cheryl Taylor White
Oklahoma City, OK

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