>Cathy,
>      I would suggest the babe needs an immediate feeding assessment 
> to check for aspiration. Locally that would be a referral to a 
> pediatric PT or OT at a specialist clinic. We can do it through our 
> Infant Development team and the costs are covered.
>          I think the mom has every reason to be concerned.  I have 
> seen some very interesting results. Often very scary but all 
> important to know. Continued contact with a professional 
> knowledgeable about breastfeeding (ie you) can be essential as many 
> clinics treat bottle feeding as the norm and will tell parents they 
> must bottle feed or the clinic cannot help them. With a little 
> translation and intervention the professionals involved often work 
> out alternate treatments/feeding routines.
>         Weight gain in the early weeks with an experienced mom who 
> has a wonderful milk supply can distract you from the real issue. 
> Breastfed kids can do brilliantly despite tough situations hiding 
> serious problems.
         I am especially concerned as you see the same result with 
all methods of feeding.  Kudos to the mom for doing so well.

Rhoda

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