PTP.  
M of a 6 m old girl is being asked by MD to increase wt of baby.Baby has some developmental delays and is significantly below the 2% line on the WHO growth chart. M has asked me if there is a way to increase the fat content of her milk.   M has been doing a modified form of block feeding from the early days.  My first visit with the dyad at 2 weeks, baby had bright green stools, and when she implemented a block of 2 hours of staying on the same side, the stools changed and stayed yellow.  She has tried to go back to BF on both sides per feed a couple of times, but the green stools return.  M reports baby wakes every 2 - 3 hours at night to BF.

My first thought was for her to pump a little bit to remove some of the stored milk (M has large storage capacity), and then put baby to breast.  But I didn't want that to increase her supply.  

Breast compression is the other idea I had, as well as upping her intake of healthy fats. 

I am not sure what direction to take with this situation.  Ideas?

Thank you!
Lisa Paul

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