If you did test weights before and after the nursing session which showed 
appropriate intake, then I would not worry so much. Especially if baby is 
gaining well which you said in your email (back up to birth weight by day 10 
or darned close), and baby is having 4+ BMs every 24 hours. For a baby this 
sleepy, I would want him to be taking in 3-4 ounces at every nursing session 
and pooping up a storm. 3-4 ounces times 6 per day would be 18-24 ounces in 
24 hours. And of course be at birth weight or higher on day 10.

For a sleepy baby who is not yet at birthweight by day 10, and having less 
than 4 BMs each 24 hours, I would not trust anything other than a test 
weight to make sure feedings are going well.

Some babies who take in large amounts at the breast really quickly seem 
"sleepier" than those that take in more normal amounts more often. Perhaps 
it is the huge amounts in their stomach that zones them out? Like 
Thanksgiving dinner.

Kathy Eng, BSW, IBCLC 

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