Dear Lactnetters,
Thank you all for the good suggestions and support.  I have seen the family
and:

baby *was* 6lb 8oz at birth and in 95% at 2 months
At 6 months she was in 75%
No weight gain since 6 months when she was almost 9kg.
Actually she's lost a about a pound in that time.
But...
She is a VERY mobile, active child.
Weighs about 18 lbs now which is still almost triple her birth weight.
She has fat folds on knees, feet, hands.
Basically she looks and acts like a healthy normal little 9mo baby.  If her
mother hadn't told me that she hadn't gained weight in over 3 months I would
have exclaimed on how *big* she is!!!!  (None of my 4 children were 20 lbs
until at least 18mo)
Mother is having a tough time trying to express breastmilk.  After getting
new tubes for her PIS (somehow she had lactina tubes! - but it is a new pump
that she bought when baby was born)  Anyway, even with the new tubes she is
getting less than 30ml pumping and baby only transferred approx 60ml in
about 30 minutes of off and on (peek-a-boo) nursing.
We tried several types of pumps over a period of time - Lactina, PIS,
Whittlestone, Whisperwear and she gets milk, but less than 1 oz.
Mother started MoreMilk Two (whatever was suggested, I forget right now)
yesterday and is taking the drops every two hours religiously.
Mother has stopped with the jars of baby food and has been doing as was
suggested and cooking meats and adding olive oil.  Actually tasted pretty
good, but little one turned her nose up at it.  Same with the Nutramigen we
tried.  She did go to town with a piece of bread, but her mother said she
broke out in hives after I left.  Her mother said the bread had milk in it.
This child tired me out in the several hours I was there, she was so active!
The good news is that the pediatrician she saw as very reasonable and
reassuring.  He agrees that she needs to gain weight but he also told the
mother that it was not a crisis and that the baby was healthy.  He countered
the nurse practitioner's instructions to not give any water or juice since
she wasn't taking any formula and becoming dehydrated.  He also countered
the instructions to wean immediately.  He agreed that the small amount of
breastmilk the baby was getting was better than nothing which is what she'd
get if the mother tried to wean her.  He told the mother she could try
anything she wanted, i.e. soy milk, goats milk,... whatever she felt that
the baby wouldn't be allergic to.  He also agreed to a consult to a
dietitian which I suggested.
I was also able to contact the Air Force family services nurse and she will
act to make sure the nurse practitioner is educated.
So, while the situation is not resolved, it is at least calmed down and in
perspective.  Thanks again to all who responded!

Regards,
Cindi Swisher, RN, IBCLC

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