---------- Forwarded message ----------
From: "Laurie Wheeler" <[log in to unmask]>
Date: Sep 8, 2017 12:19 PM
Subject: 3 wk old with wt loss
To: "Laurie Wheeler" <[log in to unmask]>
Cc: "[log in to unmask]" <[log in to unmask]>

Sometimes I think the pain is from a large baby sucking very hard and with
a flow less than optimal.

Perhaps with prior breast surgery she has a max production that is not
enough for this particular LGA infant.

A baby with birthweight 9#14 needs lots of milk.

At this point, seems he is being underfed.

To improve his intake, breast compression, supplement with all ebm and
formula if needed. Consider a nursing supplementer at breast.

Frequent weight checks.

Hospital grade multi-user pump rental.

Galactagogues - give realistic expectations - these don't work miracles - I
typically suggest food/herbal and not the prescription ones.


Laurie Wheeler, RN, MN, IBCLC

Gulf Coast Mississippi USA

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