Dear Jennifer,

I read your post with dismay and anger at the insensitivity shown this mom 
who should be given nothing but kudos and support for all her loving, hard work 
in giving herself to her baby.

"Also, the ped was very unhappy about his weight, and told mom that she had 
"long out-lived her usefulness" pumping milk for this baby and that it was 
inappropriate for him to still be getting breastmilk."   How horribly insensitive 
this statement is and also the one you mention that "friends make bad 
doctors."

Can mom skim some hindmilk and give to baby?  Might she be able to contact 
one of the milk banks for hindmilk?  An adoptive mom I work with recently 
received colostrum for her newborn baby and I must admit I was pleasantly surprised 
that such specific milk was available from  the Bank.

Is she working with a nutritionist who could recommend specific calorie dense 
solids to give him in addition to the likely life-saving breastmillk he's 
receiving?  I think the developmental pedi owes this mom, and you, an apology.  
Perhaps, she's just reacting to baby's weight but I think she needs to know the 
impact of her words.  And another thought, since this baby just started 
taking milk from a bottle, how about seeing if breastfeeding is possible to begin 
working on, if not too much for mom and baby stress wise.  Certainly know that 
your concern and help is not "bad" but more than likely, has been this mom's 
saving grace; keep up the good work.

Barbara Latterner, BSN, RN, IBCLC, RLC

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