>In need of help with those more experienced. A mom called today, 
>this is her 3rd baby. Always had good production of milk. Has been 
>diagnosed Cohn's disease. Baby is one month old. Nurses baby both 
>breasts, compresses breast during pauses. Burps baby after feedings. 
>Baby is asleep but wakes up after short while under 15 min screaming 
>and not satisfied unless she has fed him 2 oz. of formula.


I wonder if she would feel ok simply to  put him to the breast again? 
She might be helped by knowing that waking up a short while later and 
wanting further feeding is *perfectly* *normal* for babies of any age 
but especially newborns.

If she gives formula when this happens, she will experience an impact 
on her milk supply....and if she has been doing this at every feed 
for two weeks, then it could well be that her milk supply is already 
compromised - she may now need a 'rescue' plan to ensure her supply 
is preserved.

>Never experienced this with other children always over producer. 
>Feels let down, also has Reynard's takes Entocort and Prozac only 
>medications. Eats lots of fat in diet, Olive oil on salads, 
>hamburger and uses margarine or butter. Concerns were that she 
>didn't have enough fat in milk to satisfy him.


Fats in her diet will not effect the amount of fat in her milk.

>Has several very wet diapers.
>stools are slowing down to 1 a day or every 2-3 days with big 
>stools. She has a good pump and pumped 7 ounces. I asked her to put 
>her pumped milk in refrigerator to see if the fat separates to show 
>some fat content.


This will not reveal anything useful, though - it's normal for fat in 
milk to vary a huge amount - see this study

Volume and Frequency of Breastfeedings and Fat Content of Breast Milk 
Throughout the Day

Pediatrics 2006;117;e387-e395
Jacqueline C. Kent, Leon R. Mitoulas, Mark D. Cregan, Donna T. 
Ramsay, Dorota A. Doherty and Peter E. Hartmann

Hope this helps.

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

http://heatherwelford.posterous.com

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