>
>Cream level almost non-existent in her milk as per photo of 6oz EBM 
>standing 6 hrs with maybe 1-2ml cream on top. She said that's more 
>than usual.


My understanding is that it is misleading to 'eyeball' a sample of 
milk and judge the general adequacy of it to nourish a baby.

Research tells us that samples of milk differr massively in 
calorie/cream content anyway - it doesn't matter.

Even if a mother consistently produced milk that was very low in fat 
(how would that happen? Fat content varies with the amount of milk in 
the breast, as we know) it wouldn't matter - the baby would just take 
greater volumes. In fact, this is what happens with over-supply - the 
milk ingested is relatively lower in fat and the baby takes large 
volumes.

These babies gain weight like billy-oh so they certainly get their calories :)



"By 4 mos, wt started dropping to 5%ile at 7 mos. But his ht grew to 
75%ile at the same time."

This is really unusual - this is one *skinny* baby.

There is no 5th percentile line on the charts in general use in the 
UK (though of course a 5th percentile does exist!). If the 
same/similar charts are being used in the US, then I would wonder if 
someone is mis-reading them. Or misweighing. Or mismeasuring length.

So here, I think we'd be looking again at those figures. We would 
totally disregard the appearence of the milk.

If the figures are right, then they are justification for looking at 
what might be going on medically/developmentally.

If the baby checks out as fine just skinny, then we'd be encouraging 
the mother to bf *ad lib*  - there's no info in your post about how 
often the baby is feeding. And because he's eight months, 
calorie-dense solid foods would be entirely appropriate  - here, 
mothers are advised to give avocado pear, banana, to add a lump of 
butter to pasta/rice.

Heather Welford Neil

NCT bfc, tutor, UK
-- 
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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