I will try to keep this brief but I need your collective help and wisdom!
I have a client - baby is 4 weeks old, have never latched onto the breast - was 5# 3 oz. at birth.  Mom tried cup feeding at about 3 days and that was not successful.  She then started bottle feeding formula, at one week, she started pumping and only got about 3-4 oz. in 24 hours (double pumping with PIS).  She tried Fenugreek, fennel and Mother's Tea with no increase in supply.
At this point - about 3 days ago - she finally called me and we worked on latch - baby arched his back and when he finally did latch, he only sucked a couple of times and got angry (nothing there?).  We tried a supplemental feeding system,and he fought that too.
I suggested getting into the tub with him today.....try "re-birth".
She is asking about meds - like Reglan - I need info on that, with dosage, etc......and any other advice you can give me.......this mom is so determined!!
TIA
Dianne Kemp RN, BA, CPCE, IBCLC
Port Huron, Michigan