Lisa I have a few questions: I see you put "breastfeeding well" in quotes, so did mom give you some info that baby was, in fact, not feeding well from the beginning? What was wt of baby at hospital discharge? Were there other wts within the 13 days? What were they? Any risk factors in infant? Birth trauma, injury? Jaundice? What were the "diaper diaries" like in the early days and later on? Did mom's milk come in fully around day 3-5? Is mom on any meds? I would be specifically interested in hormonal meds like birth control pills or shots; cold meds? What I would be trying to determine is if infant was compromised in some way from the beginning or did infant deteriorate at some later point? If "by day 12 baby was not nursing as well" but he was nursing well before that, that sounds like a sign of a serious illness that needs close investigation. In any case, at this point, feed the baby, maintain/increase the milk supply, closely observe infant for illness or developmental abnormality, work on the breastfeeding skills, refer if necessary to OT or other provider. Good luck. <<have a mother of a two week 8 lbs 7oz at birth. Infant was sent home "breastfeeding well". By day 12 baby was not nursing as well and she began pumping after nursing and giving infant EBM by bottle (Avent slow flow nipple). At 13 day MD appt infant had lost a pound. >> Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. 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