Hello fellow Lactnetters! I'm hoping you can offer me some insight into a challenging case of low supply/low weight gain. I have mom's permission to post... This is her second baby. Baby was born at 35 wks. b/c mom had a 9 cm uterine fibroid that caused early labor. By day 2 baby had jaundice -- bilirubin level of 17 at highest. Mom's milk came in on day 5. (Mom said milk never came in with baby #1 who was born at 29 weeks. He's 3 1/2 yrs. now.) Current baby's birth weight was 6 pounds 1 ounce. Now, at six weeks, baby weighs 5 pounds, 9 ounces. Baby has always had at least 5-6 wet diapers and 1 bowel movement/day. Baby breastfeeds every 3 hours -- sometimes staying latched for up to an hour. When baby fusses after an hour at the breast, mom gives supplemental bottle -- EBM from a friend when she has it, organic formula when she doesn't. Pre- and post-feed test weights with visiting nurse's Baby Weigh scale show 1 ounce of breastmilk transfer from both breasts. Mom is taking fenugreek 3 capsules 3 times/day and also drinking Mother's Milk tea. Mom also takes Prozac. This past week mom had bright red vaginal bleeding for 3-4 days. She said she thought it was her period b/c lochia had slowed to brown discharge and stopped a few weeks ago. So far I have suggested: more frequent breastfeeding for shorter duration, pumping between feeds, using a nursing supplementer to give supplements, having thyroid levels checked, checking with midwife about the possibility of any remaining placental fragments, getting an Rx for Domperidone. Is there anything else I could be missing? This mom really wants to bf exclusively -- I wish I could find the "magic answer" for her issues. TIA! ------ "Human Milk for Human Babies" Karen Meade, LLL Leader Suburban Philadelphia, PA, USA *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html