Chris Clark writes;
>> He dropped to 7lbs 2
ozs. @2 weeks and was 7lbs 9ozs on 3/31 when she initially called me.<<
and
>>baby gained
and was up to 8lbs 3 ozs last week. But now baby is down again to 7 lbs 15<<
>>One of my suggestions was to keep baby
on one side for 2-3 hours before switching and to massage and use breast
compression while nursing. My thinking was the hindmilk foremilk imbalance.<<

Over what time period was this?
I agree with the breast compression, particularly towards the end of the feed
when babe is losing interest. I have concerns about the one side x 2-3 hrs.
suggestion UNLESS Mom has an oversupply. My guess is she doesn't but you
haven't remarked either way. As has been discussed many times here on
Lactnet, the practical applications of hindmilk/foremilk balance have been
overstated in the breastfeeding world as of late.
When I receive a call like this I emphasize the close observation of the feed
ie. watching for swallows, learning what influences them etc.(many third time
Moms don't pay attention AT ALL!),try f-ball hold (particularly if she hasn't
been using it, IME, it often increases flow) and, again, compression. I would
want the babe weighed after 2 days with the above changes, with continued
increased frequency if all is well. If weight gain isn't sufficient, this
babe needs a consult!
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts

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