>The baby I posted about started out 8 lbs. 13 oz.  She was 7 lbs. 13 oz. on
>day four when she went home with her mother.  She has fluctuated in her
>weight as low as 7 lbs. 9.5 oz up to 8 lbs. in my office one day when she
>was about 14 days old.  Currently she is 2 3/7 weeks old and weighs 7 lbs.
>14.5 oz.  She feeds 10-12 times a day and is being supplemented with her own
>mother's milk after each feeding.  She has very wet diapers (you can feel
>the weight and there is no scent of ammonia ) six or more times a day and
>3-4 dark golden stools.  She is alert and vigorous now - - - she wasn't last
>week.  She has that faded lemon-colored jaundice  which is an improvement
>over the ruddy jaundice she had a week ago.
>
>Mother said everything went well in the hospital (except for big weight
>loss) and she was hopeful that the first child's pattern would not repeat.
>She had full, leaking breasts at one week, but that is not so now.  There
>was some nipple soreness in the first week at home when the baby was nursing
>most inefficiently.  We worked together and corrected that, but swallowing
>is not always audible even after the latch is improved.  Milk is always
>visible in her mouth when she comes off the breast.


It sounds as if this baby has gained 5 ounces (7 lbs 9.5 oz then and 
now 7 lbs 14.5 oz)  since the latch was amended and milk transfer was 
improved, and the jaundice started to fade.

All other signs seem normal, and would this weight gain not reflect a 
normal, healthy baby who has had feeding issues in the first week or 
so which are now being resolved?

It would be a real shame to introduce unnecessary supplements, when 
the support and practical guidance she has had with her breastfeeding 
has allowed everything to improve.

The only other thing I would check for is whether the baby is feeding 
often at night, and if the mother is offering both breasts each time.

Heather Welford Neil
NCT bfc, tutor, UK

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