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Thu, 3 May 2007 12:30:07 -0400 |
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Hi all,
I have a mom who is trying so very hard to breastfeed her baby. The baby
latches very well. He is 3 weeks old. His birth weight was 7lbs 13oz. He
dropped to 7 lbs at 4 days old, but regained to 7lbs 8oz and has not gone up
since. Baby looked scrawny to me, but not worried or terribly upset. Mom had
been timing feedings, and switching to the opposite breast after 10 minutes.
I watched this baby latch on - I heard gulping in the first 5 minutes, then baby
slowed down to a much slower suck/swallow pattern for another 10 minutes.
He took 74ml on the right breast.
We switched to the left breast - same scenario, baby took 28ml over 10
minutes.
Mom pumped 20ml from both breasts following this feeding. The milk looked
very rich, not thin or transparent. We SNSed this to the baby and he took it
just fine.
The only other thing mom mentioned is that this baby stools constantly, all
day long. Not green and frothy stool - yellow (I saw it). Sometimes she has to
change the baby 3 times during one feeding! This did not happen during the
consult.
The only think I can think of is that baby has not been gaining because mother
is timing the feedings. The plan is for her to allow baby to nurse as long as he
wants to from both breasts, while supplementing with pumped milk or formula
from the SNS (I told her to give 45 ml).
Does it sound like I am missing anything here? I thought that a baby getting 3
oz of milk at a feeding should be gaining SOMETHING. Certainly not losing.
Thank you!
Brenda Phipps, BS, IBCLC
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