Suggest this mom rent a scale and take home, weighing baby before and after feeds to ascertain what volume baby is taking at breast. That way she can tell if baby is getting adequate volume and not processing or getting inadequate volume. Without accurate assessment, no recommendations are useful, because you don't know what you're dealing with.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Sandy Bayman
Sent: Wednesday, September 16, 2015 1:03 PM
Subject: Re: Baby with poor gain
Thank you so much for the reply. Mother seems to be very stubborn, and every attempt to help her from our side is not being taken well. Her Paed suggested the MCT Oil in the hopes that she would gain, and has probably been the cause for the very slight gains together with the formula, which she is only giving very little of.
I think unless we are absolutely fearless in telling her that unless she does something drastic immediately, that baby could actually die. I doubt she actually realises the gravity of the situation.
Sandy (Doula)
Durban, South Africa
On 16 September 2015 at 13:39, heather <[log in to unmask]> wrote:
> This is quite serious - what medical input has this baby had?
>
> Why are her medical advisers letting the baby drift with zero weight
> gain all this time?
>
> I wonder if they are - and the mother is just not listening. MCT oil
> is a treatment for very low birth weight preterm babies, is it not?
>
> Five weeks old and below birthweight with loose skin and skinny? This
> baby needs proper care, IMO (disclaimer: I am not a doctor, but a baby
> presenting like this would worry me a lot, and I would have to TELL
> the mother to see a doctor NOW).
>
> She can of course continue to work towards full breastfeeding
> alongside any medical care.
>
> Heather Welford Neil
> NCT bfc, UK
>
>
>
>
>
> Dear Wise ones,
>>
>> I know a lady who had a prem baby at 36 weeks. It was a difficult
>> pregnancy, and Mum threatened to miscarry several times.
>>
>> Baby was eventually born via C-Section by a Ob/Gyn who tried his
>> utmost to accomodate Mums wishes.
>>
>> Baby latched well very soon after birth, and seemed to be feeding
>> like a champ.
>>
>> However, in the five weeks since birth she has failed to gain, or
>> made very small gains. Mum is determined to breastfeed, and says she
>> has lots of milk.
>>
>> Baby born at 36 weeks - weighed 2.7kg (7th August) Day 3 - 2.4kg Day
>> 5 - 2.3kg Day 14 - 2.4kg Was advised to use MCT Oil Day 21 - 2.45kg
>> Day 28 - 2.53kg Stared using a little formula at night Day 33 - 2.6kg
>> (8th September)
>>
>> Baby is reported to be very active. However, loose skin and legs
>> very skinny.
>>
>> Advice would be very much appreciated.
>>
>>
>
> --
>
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