Hello everyone,

I have permission to post.  I have been working with a mom and baby, now 19 days old.  Birth weight 7lbs 3oz.  Day 3 7lbs even.  Day 17 7lbs, Day 18 6lbs 14oz.  Originally seen for sore nipples - helped with latch, things are better.  Then at day 7 baby could not cope with milk supply; fussy at breast, pulling off, green, frothy stools.  Worked with this, baby fed better, stayed on the breast, stools became normal looking.  Seen at day 17 for staying on the breast two hours at a time.  Baby only eating every 6 hours.  Weight loss of 3 oz.  Mom trying to wake baby, but not much success.  Went over latch, positioning.  During observed feed baby is actively sucking at breast with good milk transfer.  If baby comes off mom has milk everywhere.  (Also, mom able to pump 8-10oz with manual pump).  Mom went home to shorten time at breast and get baby latched every few hours.  Called next day for sore nipples as baby won't latch well during the times she wants to sleep.  Seen on Day 18.  Weight now 6lbs 14oz.  Baby chewing at breast.  With some adjustments baby sucking much better.  Long feed about 1hour 15 minutes, weight 7lbs.  Pediatrician wants mom to give 2oz AIM after every feed (specifically told not to use ebm) and to see mom on Day 25.  At home baby only willing to take 1oz of AIM.   Parents very concerned.  Oral exam of mouth showing nothing unusual, baby exhibits good suck.  I am seeing mom today, but am not sure what is going on.  Any ideas?  

Thanks in advance.

Adrienne Guirguis, IBCLC

_________________________________________________________________
Windows Live SkyDrive lets you share files with faraway friends.
http://www.windowslive.com/skydrive/overview.html?ocid=TXT_TAGLM_WL_Refresh_skydrive_052008
             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome