Joining in from the other side of the pond, in response to Kathy Eng's
suggestions.  
If I were following this baby we would already have checked his hemoglobin
and we probably would have checked to see whose blood (his or mom's) is
making his stools show occult blood.
Then, if we'd sent him home to be followed as an outpatient, we would want
to see him at least every other day for naked weighing and to see how
feeding was going.  
It's possible that a pre- and post-feed weight would be done in connection
with a visit, but it's possible it wouldn't.
There is no way here to get hold of a baby weight to place in a family home,
so we wouldn't do that, but I would feel fine about that since we would be
having frequent contact.
If the mother wasn't an AP, tandem-nursing experienced breastfeeder I might
also lose some sleep over the baby, but not in this case.

The target volume of 15 ounces or about 450 ml, is what we would say too.
Only, we'd have less control over what baby actually took in if he was
feeding at the breast, which is why we wouldn't want to go more than two
days at most between each visit, until he is gaining steadily and thriving.

If he lost any more weight I would strongly recommend feeding him the entire
amount by some other method, because I would be convinced that he is not
capable of transferring enough on his own.
If he just stayed at the lowest weight, 5 lb 3 oz, which is nearly ten
percent below birthweight, for more than a very few days I would advise
Jacqui to feed him about half his daily 'ration' in expressed milk by
whatever method she was most comfortable with, to ensure that he was getting
enough volume.  I'd encourage her to offer the breast as often as he wants.

I would expect him to become more vigorous, more persistent and better at
suckling as he grows.

Rachel Myr
Kristiansand

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