I am working with a new Mom of almost 3 week old baby, born at 37 weeks
gest.  Mom had spontaneous vag del, no meds, baby has nursed well, to put in
a nut shell "the perfect breastfeeding baby" at discharge.  Well, baby had
not been gaining, remaining at 12% below bw at 14 days old.  Mom is now
supplementing at the breast with an SNS, taking fenugreek and post pumping.
When taking a history from this Mom, she mentioned she did not notice any
change in her breasts during pregnancy and very little when she felt her
milk came in on the 4th day.  Knowing this may be a red flag for mammary
gladular hypoplasia, is there any other way of knowing that this is the
problem?  What about the recent post where it can take up to 4 weeks for a
mom to achieve a full milk supply (with insuf. glan. tissue)? Is this the
max or average? Do we know?  Are there tests one can have done to know if
one has insuf. glan. tis.?   I guess I'm asking, at what point does one say,
ok, I've done all I can do and X amount of time has gone by and this is all
I'm going to produce for this baby? Waiting to hear from those far more
experienced than I.  Mary, LLLL, IBCLC

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