Dear Micky,
    You have misread the Breastfeeding Answer  Book.    You stated baby's 
weight as 7 lbs 9oz at discharge and  7lbs 11 oz at 2 weeks.  You then say, "That 
would put the lowest weight at  7lbs 9oz and the baby was back up to that and 
2 more by two weeks."
    The lowest weight _is_ the lowest weight!   Baby can't be "back up to 
it."  Baby's weight gain needs to be measured  from the lowest weight, not birth 
weight.  But in this case, baby has only  gained 2 oz in 2 weeks--definitely 
not sufficient!
    Although baby is having 5-6 stools every 24 hours,  the quality of the 
stools also needs to be assessed.  I have seen numerous  babies who have "lots" 
of stools, but the stools have few to no curds--basically  just yellow water!  
This can happen when baby doesn't get enough  cream/hindmilk.  I'd suggest 
investigating if baby is filling up on only  foremilk because mom has too much 
milk (you mention baby gulping and  choking).  I'd also investigate if baby's 
suck is ineffective--baby may be  able to get that initial let-down going, and 
it may be very fast, but then  baby's suck may not be effective enough to get 
the slower creamier hindmilk,  which doesn't come with that initial letdown 
and is very dependent on baby's  abilities.
    Dee  

Dee Kassing,  BS, MLS, IBCLC, RLC
Collinsville, Illinois, in central  USA


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