Hello all,
I saw a mom yesterday who would love any input that you could give. This is her 3rd baby.
 
1st breastfed with good weight gain, mom could also pump lots of milk.
Baby #2 saw an oral therapist as that baby had wt problems from a month old & was diagnosed with some kind of oral problems-she tried SNS & nipple shield & pumping--finally gave up at 3 months & went to formula since baby could not breastfeed well enough to gain adequately. 
 
Now she has baby #3. Cute little boy who was 8 lb at birth, gained well enough by 2 months of age. Now at 4 months he is only 10 lb 7 oz. Dr says to increase breastfeeding & return to get wt check in one week. Mom states she is nursing all the time now, baby nurses for 5 minutes, she is not feeling a let down, can only pump 2 oz when baby misses a feeding (she had a little milk stored so baby rec'd this by bottle). I saw her at a group meeting & baby goes to breast for a few minutes, then starts pulling at her nipple, sucks several times, pulls nipple again, repeats a few times & then releases nipple & fusses. Baby then sucked on pacifier and went to sleep. She is pumping several times a day after breastfeeding but doesn't get enough for supplementing. We talked about her coming for a full consultation, using a rental pump & SNS, but she did not do either at this time. Her pediatrician is supportive of breastfeeding, so may offer her a prescription at next week's visit.
 
Thanks,
Laura Hart
Winter Park, FL
 
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