I am concerned that a lactation consultant convinced parents not to follow a
physician's feeding plan, without discussing it with the physician.  A growth
retarded infant may or may not be able to take all feedings directly at the
breast. Paul Meier's studies show clearly even the best LCs cannot tell how
nuch an infant is taking in at any given feeding.  Although these SGA infants
are usually champs as breastfeeders, the infant may still need additional
protein, calcium and phosphorus for catch-up growth.

Nancy E. Wight MD, FAAP, IBCLC
Neonatologist
Medical Director, Lactation Services
San Diego, CA, USA

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