Just saw a 9 week full term baby who has not gained any weight in the last 4 weeks.  This is mom's 4th baby and she nursed the rest and states they did fine but gained weight on the slower side.  Pre and post feed weighs show intake around 30+ ounces in 24 hours.  This may be more than the baby was taking before, because now with using both breasts per feed, massage and compression and more frequent feeds the baby has now gained several ounces.  Mom with hemoglobin of 6 after delivery, received blood, and was very anemic during pregnancy.  She saw peds the day after our visit and he states that he feels the anemia is affecting the quality of her milk and wants her to get another hemoglobin level drawn.  Not sure what his thoughts are going to be after the labs come back.  Any thought on infant weight gain and anemic mom???  She doen't seem to have a supply issue related to being anemic.  She is concerned because she does not see a lot of fat in her milk.  We are working on increasing quantity of intake.

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