Dear Lactnetters,
I need your collective wisdom on how to respond to a recent case which I've
come across.  The mother has given me permission to discuss the issue with
Lactnet.
The baby was given formula predominantly during the first four weeks of life
and grew from 3.2 kg to 4.2kg.  After that, the mother tried to
predominantly breastfeed and the baby was 4.5kg. at 9 weeks.  The baby
seemed to be cranky most of the time and needed a lot of carrying.  The
mother brought the baby to a paediatrician who recommended supplementation.
She saw me after this and I observed the increase in length, and head
circumference.  WEight gain was minimal and slow.  I recommended
supplementation with her sister-in-law's expressed milk (baby-one and half
months older).  After this consultation, the mother brought the baby to a
cranio-sacral therapist who alarmed her by saying that the baby had a
traumatic birth experience and needed weekly therapy sessions to recover.
The mother noticed a change in sleep patterns after the session and wonders
whether she should continue with the session.  The baby displayed deep sleep
patterns and seems less cranky.  Her milk supply is still not high.  What do
you think?
Doris in Singapore
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