I see this sometimes - and yes the Pedi's get all up in arms. What I usually see is a fussy, unsatisfied baby, who has lots of urine out but poor weight gain. I feel is related to alot of foremilk, not enough cream. To get a more "rapid" weight gain,( to keep the Pedi from RX formula) & If mom has an abundant milk supply, I will have her express 1/2 oz - 1 oz. foremilk, then put the baby to the "primed" breast and nurse using Breast Compression to improve milk transfer and milk fat %. This usually works really well, the slight overproduction balances out as the baby takes more volume, and mom stops the foremilk release when back to birth weight and the Pedi is more reassured. Paula Hiett RNC, IBCLC Longview, Texas *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]