Linda, A baby of 8 lbs needs just about 20 oz of milk per 24 hrs (8 x 2.5). So it sounds like baby is taking in enough (19-26 oz). Babies w/ down's syndrome do not grow like normal babies. I believe there are special charts to track this. I would make sure the baby is seeing someone knowledgeable about Downs' syndrome, maybe his hcp is not. Maybe a developmental peds doc would be better. Also make sure baby's general health is checked out thoroughly and looking for associated anomalies that could affect growth and health, for example cardiac issues. From your info, I would not go in for the lactoengineering at this point. I would suggest mom practice attachemnt parenting to the max and frequent feeds which helps the calorie count. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ The new MSN 8: smart spam protection and 2 months FREE* http://join.msn.com/?page=features/junkmail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html