There have been some recent posts about this type of situation. Malnutrition can occur in the mom. However, the first thing I would do would be to take a thourough history and an in-person bf evaluation. Of note is that the baby is a 37 wk'er. Was the baby small in size? Did the baby begin bf immediately after birth? How did the early feeds go? Was the birth complicated? Was the birth surgical? How has mom's health been since the bypass? Is she anemic for example? Is mom on any meds? Cold meds, birth control? Did the baby EFFECTIVELY feed ALL feeds in hospital? Have any feedings been evaluated by a SKILLED BF HELPER? Were they exclusively bf? Did mother experience onset of copious milk production around day 3 or 4? And so on. In my experience, these are usually the factors that contribute to the poor gain. 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