Hi Ivy,
I was wondering about this part of your account. It seems  that there's been a connection made between the amount of milk the mum expressed and the amount of milk that they baby is consuming? I don't think that this is a valid connection to make, there could be a lot more milk being transferred or a lot less and that puts all the numbers about how much supplement that might be suggested for the baby in serious question. I'm wondering if you've been able to watch the baby feed? As you have identified with such a little bub ensuring that there is enough milk fed is critical
Karleen Gribble
Australia


> 
> On 5/22 at 1pm, mom said baby breastfed 5 times since midnight and also
> took a total of 90 ml ABM from a bottle, and 20 ml EBM. She said if the
> baby drank one breast and then she expressed the other breast, she could
> express 10 ml.  Since 1 am to 1 pm, baby has had 5 pees, 1 poo and is not
> as fussy as the day before.  She notices that she has MER during
> breastfeeding. At night, baby seems to wake every 2 hours to feed, but is
> sometimes fussy when latching, and turns her head this way and that way
> getting frantic.  I explained that this might be due to oral aversion, and
> she can just try to keep her baby calm, skin-on-skin, let baby lead,
> and avoid touching baby's head during latch.  She said baby is not as fussy
> as the day before. I asked if baby seemed more sleepy, disinterested in
> feeding, weak, etc.  She said it did not seem so.  I again talked to her
> about the benefits of using an SNS, but again she seemed to not want to
> embrace the idea and just wanted to keep using the bottle. She also did not
> use the tubes I sent with her mother.  We talked about her possible milk
> supply being possibly only around 200-250 mls if she was feeding 10ml per
> breast 11 times a day, but that was very good considering that a week
> before, she had not even been expressing. I stressed that the baby still
> needed more supplements for a while.  (I am worried if the baby doesn't get
> enough, she might be heading towards FTT).

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