I am far from having any knowledge of biochemistry, but seems to me 
that a single sample of pumped milk will not give *any* clinical 
information at all.....it doesn't matter what goes into the pump, 
it's what goes into the baby that counts.

Even if her expressed milk was bursting with triglycerides, it 
wouldn't tell us what was going into the baby at that moment or at 
any other.

Simplest reason for a baby not gaining is the most obvious one: baby 
isn't feeding often enough.

If this goes on for long, the milk supply is compromised and the 
mother makes less and less milk.

As we all (but probably not the doctor who ordered this test) know :)

This mum needs to share how often she is feeding, day and night.

The other explanation is that the baby is 'falling of the growth 
curve' in a way that is totally physiological to him, and there is 
nothing wrong with him, his frequency of feeding or the mother's milk 
quality.

Heather Welford Neil
bfc, tutor, NCT, UK

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