Carol,
I am sorry to hear about your daughter's difficulty with nursing. It is 
very important for everyone to understand that an 'adequate' number of 
stools and voids can be somewhat reassuring but _not_ confirmatory of 
adequate weight gain. A baby who is not gaining can have plenty of stools.
I would bet that there is nothing wrong with this baby, and this baby 
needs to be supplemented AD LIB, not some premeasured amount that 
someone is guessing at. The principle of ad lib feeding at the breast 
needs to be applied to supplementation as well. This baby should gain 
more than 1 oz a day...if given the correct number of calories, the baby 
will rapidly gain and catch up to where she should be.
I suspect that your daughter's problem with low milk supply has nothing 
to do with watery or poor quality milk, but rather an insufficient 
supply of good quality milk. The bypass likely has nothing to do with it 
unless she is actively losing weight and is eating insufficient calories.
Likely she has another condition that is causing her low milk, which 
needs to be evaluated. Given that she had a low supply with the first 
baby, she is certainly at risk again this time.
Anne

Anne Eglash MD, FABM, IBCLC
Clinical Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)

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