I am not doing any of this mathematically, but this case does not add up. If 
the mother became pregnant and her milk dried up, why then did the older 
baby transfer "60cc at each feed????" This to me says there were several 
feeds. Generally with a low supply the milk transfer is quite low, maybe 
less than 30cc.
Is the child taking other foods? A dietician or nutritionist could add up 
all the calories from foods, drinks, and breastfeedings, and do a simple 
calculation to see if the child is getting enough. This child lost over 3 
lbs.
It does not seem to be a malabsorption type of problem because the baby 
"gained beautifully on the supplements." Perhaps since the baby was 
hospitalized the mother had the time to feed the baby nice long feeds. 
Perhaps at home, if she is too busy, she is shortening feeds, or not 
responding to cues, or giving a pacifier, or low calorie foods, if any. It 
seems she needs counseling on managing her time and making sure nutrient 
rich foods are available or making sure she has time to nurse often.
The child could also be anemic or zinc deficient, I'm sure they've checked 
that while hospitalized. Again, appropriate nutrients should be available. I 
hope a bf-friendly nutritionist was or can be consulted.

Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html