Marie, Is it possible that these little babies were getting more foremilk with the lower fat content because of the continuing engorgement? As I recall, you said that they had difficulty in pumping, but if they could pump and obtain some hindmilk to supplement the baby, might this reverse the slow weight gain situation? Just a thought. What a challenge! -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************