> Even
> frequent feeds (every 2-3 hours) does not seem to keep the baby satisfied.
>
> Nancy Hoehn, MSN, RNC, WHNP, IBCLC
> mailto:[log in to unmask]
>

Nancy, this is the part that caught my eye.  This gives the impression that
before your assistance, feeds may have occurred less frequently than every 2-3
hours.  In my experience, feeding every 2-3 hours is not really very frequent,
especially if the baby has a longer sleep stretch at night which the mother may
not be taking into account.  Do I gather correctly that the baby is now around 3
weeks old?  It would not be at all unusual for a healthy, normal,
properly-feeding baby that age to give nursing cues hourly or more often.

My first moves would be to discontinue pacifier use (if any), discuss early
feeding cues with mom, and have mom and baby spend a few days in a "nurse-in" --
skin-to-skin, no housework, no appointments, just mom and baby hanging out and
cuddling.  Mom should let baby feed just as often as she wants.  If mom balks at
this level of intensity, remind her that it is a temporary intervention to bring
her supply up.

I understand that in some cases it can take several weeks to reach full
production, so you may yet see results with the interventions you're already
doing, plus the ones above.

Warmly,
Margaret
LLLL
Longmont,
CO

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