Angie reports:
 
<<Baby was born  weighing 6 lbs 4 oz, healthy, no apparent medical issues.   =
Mom=20
had breastfed one child previously.  This baby was  exclusively breastfeed=
ing -=20
eating every 2 hours or so, seemed to be  breastfeeding well, and making=20=

plenty of wet and soiled  diapers.  Mom had a strong letdown.

At 2 1/2 months the baby weighed  9 lbs 2 oz.  At that point she was=20
hospitalized and worked up for  failure to thrive.>>
 
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It seems to me that the first mistake is working this baby up for  FTT.  She 
is gaining  -- has gained at least 3 pounds in 2  1/2  months according to 
your post.  She has gained 48 ounces in 75 days --  granted, it isn't an ounce a 
day, but it is over 1/2 ounce a day.  So --  slow weight gain, not FTT.  Why 
isn't someone just looking at the baby to  see about her developmental 
milestones, etc etc.
 
Now -- notice that in the week in the hospital, the baby stayed right on  her 
track which was just over 1/2 ounce a day.  I'm not exactly sure what  
happened that in another 6 days she gained 10 ounces, but it does concern me  that 
12 days later she dropped a pound.  I'd love to see the scales she was  weighed 
on.
 
Mom pumping and getting 6 ounces/pumping only tells us how much mom is  
making -- doesn't tell us what baby is actually taking from the breast.  My  
suggestion would be to do some test weights -- maybe every feed for 24 to 48  hours 
just to see how baby is doing in the usual course of events.....
 
Certainly I'd do that before I'd try to look at milk composition.   Then if 
the baby is back to gaining 1/2 ounce/day, I'd leave well enough alone  and 
just have Mama enjoy breastfeeding her baby.


 
 
Jan Barger, RN, MA, IBCLC
_www.lactationeducation.com_ (http://www.lactationeducation.com)  



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