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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 30 Aug 1995 21:14:19 -0400
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Cindy,
Didn't the DARLING studies show that weight gain in breastfed infants often
falls off after the first 3 months?  4 ounces per week is an acceptable weight
gain for a bf child.  This baby may not really be sleepy, just getting more
efficient.  Older babies can sometimes get all the milk that they need in 5 or
10 minutes, then fall asleep contentedly.  I don't think an SNS is warranted
at 4 months of age when baby has been doing fine up till now.
        As far as bottles go: I have had success with orthodontic nipples with
the hole on the upper portion that rests on the palate, rather than a hole in
the front. This makes the baby feel less like choking on the milk.  Mom may
also want to introduce a cup instead.  Some of my clients found the Magmag
training cup very effective. It has interchangable tops including a soft spout
and a straw.  Offering any alternative feeding method works best if it is
presented as a fun thing, when baby is not really hungry.  Having the milk be
very cold sometimes increases the novelty and the baby's interest.
        Raccoon eyes (dark circles) are often allergic in origin.  I would
hate to see this little one given sim.... or any other cow milk based abm.
Severe allergies can cause malabsorbtion and failure to thrive, and
sleeplessness as well, which would further increase relative energy
requirements.  Then again, the 4 oz per week could be normal for this baby.
        I would also insist on observing a breastfeeding.  You can tell if
baby is sucking effectively.  If he is, more opportunities to bf (possibly in
a quiet room, 4 mos is "distractible" time) may be all that he needs.
Hope this does not confuse the issue for you.
Catherine Watson Genna, IBCLC  NYC


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