I think I made up for my sin.
I saw a 2 month old NICU grad who was a slow gainer/weak feeder.
In the past he didnt seem to suck strong enough to stimulate mom's production. He was breastfeeding then getting expressed milk which was fortified to 24 cal/oz (assume 20cal/oz BM)
Now he BF and gets 1 once of expressed milk 3 times a day to help
get down his apnea and reflux meds. He's gaining 1.5 onces a day!
I also saw a thriving 2 week old who wont latch. He's weel over BW on just expressed milk. Mom pumps 10 onces every 3 hours. I fixed him.
Actually one of my nurses did the direct fixing but I told him what every doc learns in residency. Dont mess with the nurse.
BTW I do periodically check my office for anti-BF material and throw it out. This includes some popular baby magazines.
-Rob