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From:
Rosemary McNaughton <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 4 Oct 2010 18:57:08 -0400
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I don't have evidence, but I was similarly questioned about my first baby
who gained more like 220g/week for the first 7 months when he reached about
13kg.  After that point, he gained less than 500g until his 2nd birthday.
 He was more closely monitored by the pediatrician due to his large weight
gain, but there were no interventions and I continued to feed him on demand.
 He was happy and healthy as well, although my suspicion is that a low-grade
sensitivity to dairy was irritating his system enough that he needed to
nurse frequently day and night to soothe that, and because he was able to
nurse on demand, he remained apparently healthy, other than waking up 6
times a night to nurse!  Another possible cause of high weight gain is an
oversupply, though I had a strong supply and more active letdown with my
second child, and she did not gain this fast.

You don't say how old this baby is and what the previous history of weight
gain is, (and how accurate these measurements may be), but this kind of
gaining wouldn't be out of the ordinary for a baby who needed to catch up on
some weight gain and gained at this rate for a little while.  If it's been
more long term, I'd ask about any indicators of oversupply, but beyond that,
I would turn it around and ask the doctor for any evidence of harm from this
weight gain in an otherwise apparently healthy baby, and whether that is
worse than the risks of restricting breastfeeding.

-Rosemary McNaughton
LLL Leader
Northampton, Massachusetts, USA

On Sun, Oct 3, 2010 at 3:57 AM, john nicholls <[log in to unmask]> wrote:

> Hello colleagues
>
>
>
> I had a interesting discussion with a obstetrician a few days ago. when I
> mentioned that a baby I am  looking after for  their practice is averaging
> between 300 - 450 grms weight gain per week breastfeeding
>
>
>
>
> The obstetrician  said the baby was being overfed??????  How can that be,
> the baby is being demand fed and has always been so. This baby is happy,
> calm, and contented, and the mother is so proud of herself.
>
>
>
> Where can I get  evidence to support this breastfeeding dyad.
>
>
>
> Regards
>
> June Nicholls
>
> IBCLC/midwife
>
>
>
>
>
>
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