Dear Ones,

I'm going to post part of a case study here (yes, I know the ending), but it
was interesting and unusual enough, that I thought you might enjoy noodling
over it.

Baby boy born on Sunday, normal vag delivery, birth weight 8#4 ounces.
Normal hospital course of events, blood sugars normal, circ, roomed in with
mom, etc etc.  Baby bf "well" by all reports when he is discharged Tuesday
evening.  Discharge weight 7-12.  On Friday morning she calls the lactation
consultant (a friend of mine), and says the baby isn't breastfeeding well, is
sleeping a lot, and she has to wake him to feed.  States he's pooping quite
well -- 3 to 4 stools a day which are beginning to turn yellow, but she
hasn't seen any wet diapers since they went home.  Lactation consultant has
her come into the office.  Baby is 8#2, well hydrated.  She does an ac/pc
weight (don't read that part, Heather!!  :>D) and he takes 22 ml.  She has
mom pump, and mom gets about 75 ml with pumping.  Baby is now asleep.

What is the problem?  Or IS there a problem?

Jan B in Wheaton, with this week's lactation conundrum.

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