Why not do before and after weight checks for 24 hours, and use that as proof that the mom is producing enough, baby is just not retaining?

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of J Nicholls
Sent: Friday, May 10, 2013 3:31 AM
Subject: poor weight gain+ptt+reflux

PTP

Hello Wise Ones (Long Post)

I was contacted a few weeks ago by a mum who's baby  was 10  weeks old. He was born at term by spontaneous delivery, BW 3520 grms.
His history is quite intense, at 2 weeks he became spilly and  pyloric stenosis was ruled out, he was put on Gaviscon.
March his symptoms didn't improve, so Losec was commenced 1.oo ml daily, and he continued to spill 5-6 times at each feed. 
May he was diagnosed with a Lip and Posterior tie, which will be released next week and his dose of Losec was increased to twice a day. He had a weight loss at his well child check and it was suggested   to Mum had a poor supply and should express and give supplement by bottle.

He has been seen by the Paed today, and is on the 9% percentile and still spilling? The Paed feels mum has a supply issue

My question Wise Ones, If mum has a low supply would this baby still spill lots after each feed? There is an issue with no weight gain for the past 3 weeks  and the Paed feels he isn't gaining weight because of the poor supply My other question is it the reflux or tongue tie causing the poor weight gain He is now 13 weeks old,  was weigh (5.6kg) today and hasn't had a weight gain Mum is beside herself, she has a  baby that doesn't sleep, feeds constantly , spills constantly and has lost faith in herself as a mum,  she feels that she is battling all the time  and not enjoying being a mum:{ What am I missing? any suggestions would be gratefully received.


Sincerely
June Nicholls
IBCLC/Midwife

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