In my first ten months of private practice I have only had one case but it
was a winner! Parents age 20 and 21 were students from France (living with
mother) .New mom spoke no english(dad was the translater). At day three baby
had lost a pound  and was down to 6# 8oz.. They saw the ped first who said
relax and don't worry about it. Unfortunately, and maybe due to the language
barrier he tried to reassure the mom but never did watch them BF. This mom
was large breasted, firm with flat nipples. On day 4 after 2 (10ml each)
bottles of sugar water and baby losing interest in BF they called me. Mom
needed to pump since baby was at that point kind of weak. We finger fed with
a starter SNS and baby was ravenous! Showed her how to use it at the breast
too. This Mom needed alot of education on technique and feeding frequency and
they were totally exhausted from no sleep after hearing the baby cry for 3
days! The parents followed my care plan to a T and when I followed up with a
weight check in 3 days the baby had gained 6oz. I wish all cases resolved so
quickly and successfully.

While brick dust urine may be a normal occurence in newborns, you really need
to look closely at how well the baby is feeding before you dismiss a parent's
concern. IMHO.
Robin B. Frees, BA, IBCLC in Malvern, PA