What do pre and post weights show? What does pumping show? What about retained placental fragments? Did she have milk-filling? Does she have longer nipples and baby able to clamp down behind the nipple and prevent let-down? There's always something more!
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Isabella Mendoza
Sent: Monday, March 22, 2010 6:18 PM
Subject: no weight gain in 2 wk old normal exclu. bf boy
Permission to post. I need to brainstorm with anybody who has any ideas. This mother is a 29 y/o G2P2, now 2 weeks post scheduled C/S, with a history of successfully breastfeeding a previous baby for over 17 months. She has no significant medical history, no medications, only took motrin and colace after the C/S, and was able to latch baby in first few hours after the C/S. There was a delay in lactogenesis, with dark stool "algae" green for most of the first week. Eventually it changed and now it is the color of dijon mustard, x4 stool per day (at least), not tremendous in quantity, but each stool at least the size of an american quarter or larger. His urine is clear. His oral anatomy appears normal, no short tongue, palate is normal, can sustain a suckle well. She had mildly sore nipples for the first week and that resolved. She has been taking fenugreek for 5 days now, 600 mg caps., 3 of them 3 times per day. She does not feel her milk supply has increased. Her nutrition is good, she is drinking lots of water.
This baby weighed 3200g at birth and today, at 2 weeks 4 days, weighed 3000g. Granted, they were different scales, but he is nursing constantly, and this is a mother who has been successful in the past. The pediatrician was not concerned and said to continue as is and return for a weight check on Thursday (three more days).
What am I missing?
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