Just to add if supplementation is definetly required supplement at the breast unless latch is really poor.



Wait to hear about this case. Keep us updated.



Yasmin

MA, IBCLC, CLEC, LLLL

Mumbai INDIA

www.nourishandnurture.in



Sent on my BlackBerry® from Vodafone



-----Original Message-----

From:         laurie wheeler <[log in to unmask]>

Sender:       Lactation Information and Discussion <[log in to unmask]>

Date:         Mon, 13 May 2013 17:13:26 

To: <[log in to unmask]>

Reply-To:     Lactation Information and Discussion <[log in to unmask]>

Subject: unexplained wt loss



Many good answers already. I have seen some babies not gaining wt who were

peeing and pooping reassurring amounts and consistencies. Don't remember if

they have lost that much weight. Usually when they do they have actually

gone a couple days w/o stooling and have significant juandice.



Important points:

 - check / recheck all the weights if you can

- assess mom's supply / production / frequency and length of feeds / use of

pacifier / scheduling

 - protect / increase mom' s production if it's low

 - find out what baby is taking in and what he needs (pre/post wts or pump

and feed)

- if he is taking in adequate amts (I use approx 75 mls x birthweight in

lbs, with 7#8 being 7.5), and doesn't gain wt overnite (in my experience),

then he needs medical eval for infection, cardiac, or metabolic e.g. If not

enough breastmilk use substitute.

- if he is offered adequate amts (see above), verified by pre/post or pump

and feed, but he refuses, then he needs medical eval as well.

hope this helps.

Laurie Wheeler RN MN IBCLC

Mississippi USA



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



Archives: http://community.lsoft.com/archives/LACTNET.html

To reach list owners: [log in to unmask]

Mail all list management commands to: [log in to unmask]

COMMANDS:

1. To temporarily stop your subscription write in the body of an email: set lactnet nomail

2. To start it again: set lactnet mail

3. To unsubscribe: unsubscribe lactnet

4. To get a comprehensive list of rules and directions: get lactnet welcome



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



Archives: http://community.lsoft.com/archives/LACTNET.html

To reach list owners: [log in to unmask]

Mail all list management commands to: [log in to unmask]

COMMANDS:

1. To temporarily stop your subscription write in the body of an email: set lactnet nomail

2. To start it again: set lactnet mail

3. To unsubscribe: unsubscribe lactnet

4. To get a comprehensive list of rules and directions: get lactnet welcome