First of all, I would be very concerned about any mother who had breast
reduction surgery, and who did not have close followup.
I am aware of the various sources that give appropriate wt gains and time to
regain birthweight, they are all a little different. Something like 20-30
grams per day, average, is what I go by, which around an ounce per day. I
think a consistent gain of 4-5 oz per week is ok, but what worries me most
is that baby was not followed closely when at first he lost significant
weight. By significant I mean "take notice of this" and not necessarily the
baby was in significant danger at 9 percent. The baby needed to be weighed
much sooner after his birth, in my opinion, and much sooner (48 hrs ?) after
the 3118 g weight. That is why the birthweight was not regained til 21 days.
The later weights seem fine, in my opinion, as long as mother is keeping
baby very close, not limiting time at breast, and not using pacifiers. Also
I think breast compression could help things along. I think the signs are
good that the baby will continue to do well, mom should be aware of the
things that can make supply go down, such as birth control pills, and avoid
those, and I would want baby weighed maybe weekly for a couple more times,
if for no other reason to reassure doctor and gain his support.
birth: 7#8 oz  (3401g)
week 1 - 7 days: 6#14 (3118g)
week 2 - 14 days: 6#15 1 oz gained
Laurie Wheeler RN MN IBCLC
Mississippi USA

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