<< I just finished talking to a mom of a 5 week old who has not reached her
 birth weight!(off by 3 ounces now)  The peds are wonderful and just started
 to encourage to supplement last week - even then they used EBM!! After 4
 days of supplementing feedings with a total of 6 ounces of EBM/24 hours the
 baby did not even gain an ounce!  Now we are supplementing with formula at
 16-20 ounces in 24 hours.>>

Maybe the baby isn't nursing actively enough and long enough to get the
hindmilk.
I have recommended  to moms that they pump  for about 5 minutes before
feeding, which helps get things flowing  and then put the baby to the breast
so the baby is going straight to the hindmilk. And make sure the baby is
actively nursing, not just lounging. I tell moms when the baby slows down,
stop the feeding, and wake up the baby and put him back to the breast. Also
nurse on one breast at a feeding.
I also have recommended that moms put EBM in the frig and when it is cold and
the fat rises to the top, scoop it off  with a small baby spoon and spoon
feed it to the baby. We did this with a baby that needed to be at a certain
weight for a cardiac surgery and he fattened up pretty quick.

Barbara Whitehead, BS, IBCLC
Ayden NC
(who is discovering the joys of gallbladder "colic"!!!!!!!)

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