My thoughts would be: that 8 lb. 2 ounce weight on day 4 was a mistake. Scales were off, or it was misread. It is pretty unusual for a baby to be 3 ounces over birthweight on day 4. If that weight is ignored, and you assume the normal weight loss, being 3 ounces over birthweight at 2 weeks is not too bad! 

Would she be willing to try the laid-back position in hopes of improving the baby's latching, which is what I think the problem is? I'd really be focused on getting a better latch, since the mom clearly has plenty of milk.

Teresa Pitman


Please let me run the basics past you-all and see what I might be missing. Permission to Post: Mother is bfdg her 2week old girl, second time breastfeeding. Hospital birth, but completely natural with no meds.  Baby weighed 7/15 at birth, and 8/2, 4 days later.  She was complaining about nipple pain from the very beginning, her nipples both looked a bit pinched. [She has a brother with a minor tongue tie, which was never fixed.  She breastfed him for 11 mo].  The 2wk old does have enough soiled and wet diapers.  The Pedi says the bili is still a ittle high (13 I think) and wants mom to bring baby for weight checks frequently because the weight gain has leveled off.  It was still 8/2 on Friday, which was at 2 wks.

  She states one side (L) especially  is distorted in a strange way: where the edges of the nipple core are sort of elevated when baby comes off.  I have seen this before, but I don't remember understanding the cause. She says pain is a "little" better than it was two weeks ago but it still hurts.  She saw the Pedi dentist with this baby at about 1 wk and dentist said no TT.  Pedi Dentist said problem is "strong suction".

I checked positioning, baby's "wide open gape", stool & urine count (good), milk is easy to express by hand.  Mom is able to feed for about 30 minutes in football only and she can still pump +- 2 oz after the feeding. (She wants to do that, not my idea).

What am I missing??? Help!
Isabella

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