Sorry, this mom will very likely need to supplement until baby gains 
enough to have the strength to breastfeed well and she rebuilds her milk 
supply. Being this far below birth weight at a month of age is a very 
serious thing for a baby. Donor milk from human milk banks is available 
if the mother does not want to use non-human milks.

This mom and baby need a careful assessment of breastfeeding, baby's 
condition and mom's risk factors for reduced production. Every 3 hour 
breastfeeding is often insufficient for human babies the first few weeks 
of life. Near term babies generally have lower energy and alertness and 
are poorer feeders, and may need special monitoring and support.

Please, please refer this mom to an IBCLC for immediate help. This is 
beyond the scope of a peer counselor. The LC will probably welcome you 
to come along and observe.
Catherine Watson Genna, IBCLC  NYC

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